Practice Question
A nurse is planning client education about active range of motion (ROM) exercises. Which instruction should the nurse plan to include in the teaching?
Answer Choices:
Correct Answer:
Move each joint until there is resistance and then stop.
Rationale:
🔷 This option is correct because active ROM involves the client moving their own joints through a comfortable range without causing pain.
🔷 The instruction to stop when resistance is felt protects the joint, ligaments, and muscles from overextension or injury.
🔷 ROM exercises are intended to maintain joint flexibility, circulation, and function, not to push beyond normal limits.
🔷 Stopping at resistance respects the client’s functional limit and helps prevent muscle strain, ligament damage, or joint inflammation.
🔷 This teaching promotes safe, therapeutic exercise and is appropriate for independent performance by the client.
Perform exercises until you feel pain in the joint.
🔷 Pain is a warning sign that tissue is being stressed or injured, so continuing until pain occurs is not safe.
🔷 Active ROM should be pain-free or only mildly uncomfortable, never deliberately painful.
🔷 Instructing clients to move until pain may cause inflammation, joint damage, or exacerbation of existing conditions such as arthritis.
🔷 Nurses teach clients that pain is a signal to stop, not a goal of effective exercise.
Perform exercises rapidly to increase muscle strength.
🔷 ROM exercises are designed to maintain flexibility and prevent stiffness, not primarily to build strength through rapid repetition.
🔷 Fast or jerky movements can increase the risk of injury to joints, tendons, and muscles.
🔷 Safe ROM should be performed in a slow, controlled, and smooth manner to promote circulation and comfort.
🔷 Rapid exercise is not appropriate in most therapeutic ROM programs, especially for older or debilitated clients.
Expose the entire body to observe overall movement.
🔷 While observation is important, maintaining client privacy and dignity is a critical nursing responsibility.
🔷 Only the area or joint being exercised should be exposed, with the rest of the body properly draped.
🔷 Full body exposure is unnecessary and inappropriate for routine ROM teaching.
🔷 Protecting modesty and comfort builds trust and supports therapeutic interaction.
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This question is from EXAMPLIFY RN W4 NR224.NR229 Exam 1 which contains 57 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Fundamentals
- Answer Choices: 4