Basic Nursing SkillsQuestion 84 of 200

Passive range-of-motion (PROM) exercises are performed when:

a.The resident performs the movement alone, with the CNA giving verbal cues only
b.Only while a physical therapist is present at the bedside to direct each movement and to document the number of degrees of motion achieved for that particular joint
c.The resident moves the joint against resistance provided by the CNA's hand
d.The resident cannot move the joint independently; the CNA moves the joint through its full range without forcing pain, supporting above and below the joint

Explanation

PROM is performed by the CNA when the resident cannot move the joint independently—common after CVA, contracture risk, or sedation. Move slowly through normal range, never force past pain, support above and below the joint to prevent injury. Active ROM (a) is done by the resident; resistive (c) is therapy-led; therapist presence (b) is not required for daily PROM, which is a CNA care-plan task once trained.

Law Reference: Fundamentals; ROM

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