Restorative CareQuestion 112 of 200
A resident has right-sided hemiplegia following a CVA but can move the left side normally. The care plan calls for the resident to lift and move the right arm using the left hand. This type of exercise is called:
a.Passive range of motion (PROM)
b.Resistive range of motion
c.Active-assistive range of motion (AAROM)
d.Isometric resistance
Explanation
Active-assistive ROM (AAROM) occurs when the resident moves a weaker limb with help from the stronger limb (self-assist) or from the CNA. Passive ROM (a) means the CNA moves the joint while the resident does no work — used when the resident cannot move at all. Active ROM means the resident moves independently with no assistance. Resistive (b) adds external force against motion (rehab/PT). Isometric (d) is muscle tightening without joint movement. Per 42 CFR §483.25(c), facilities must prevent decline in ROM unless clinically unavoidable.
Law Reference: 42 CFR §483.25(c); Title 22 CCR §72315Practice all 200 questions free — no signup required.
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