Quiz: Restorative Nursing – RMTP 2025

There are many benefits to providing Restorative Nursing Programs in the SNF setting.

All of the following benefits are TRUE EXCEPT which one?

All of the following are TRUE in order to qualify for capture of a Restorative Nursing Program on the MDS, EXCEPT which one?

Section O of the RAI Manual outlines all the rules for Restorative Nursing Programs for capture on the MDS.

All of the following are TRUE EXCEPT which item?

The following items all qualify as Restorative Nursing Programs:

1. Passive Range of Motion
2. Active Range of Motion
3. Splint/Brace Assistance
4. Bed Mobility
5. Transfer Practice
6. Walking Practice
7. Dressing / Grooming
8. Eating and/or Swallowing
9. Amputation/Prosthesis Care
10. Communication
11. Bowel and Bladder Training

Which of the above, if provided together, only count as 1 RNP?

The Bowel and Bladder Toileting Programs have additional documentation requirements to be captured for a Restorative Nursing Program.

Select all that apply:

Use your Nursing Component Cheat Sheet to help determine the answer:

Your long-term care resident typically has a Nursing Case Mix Group score of PBC1 with a Nursing Function Score of 10 on the OBRA MDS assessments in the last year. For this upcoming MDS ARD, the resident has been participating in a Restorative Nursing Program for Transfers and Ambulation. The resident will meet all the qualifiers to capture the RNP on the upcoming MDS.

Assuming all other factors are the same as prior MDS assessments, what will the new Nursing Case Mix Group score be?

Use your Nursing Component Cheat Sheet to help determine the answer:

Answer another question about the same resident discussed in the prior question:

Your long term care resident typically has a Nursing Case Mix Group score of PBC1 with a Nursing Function Score of 10 on the OBRA MDS assessments in the last year. For this upcoming MDS ARD, the resident has been participating in a Restorative Nursing Program for Transfers and Ambulation. The resident will meet all the qualifiers to capture the RNP on the upcoming MDS.

The only additional factor for this MDS is that the resident also received IV Medications in the lookback period.  How will this impact the residents overall Nursing Case Mix Group score?

Use your Nursing Component Cheat Sheet to help determine the answer:

Looking at all the potential Case Mix Group scores in the 2 Nursing Categories that capture Restorative Nursing Services, which Case Mix Group has the highest Case Mix Index Value AND highest daily reimbursement rate?

Use your Nursing Component Cheat Sheet to help determine the answer:

Your resident has a diagnosis of Parkinson’s Disease and a Nursing Function score of 5 indicating the need for help in most ADLs. Your assessment determined the resident would benefit from a Restorative Nursing Program for Communication and Eating. The programs are initiated and coded on the MDS.

How does the addition of the RNP impact the resident’s overall score?

A Restorative Nursing Program (RNP) is 1 type of program that can be utilized to ensure residents attain and maintain their highest level of function as outlined in the Federal Requirements. Though a RNP may impact a resident’s MDS score and reimbursement potential, these are never reasons to guide our practice in the long-term care setting.

True or False