Quiz: Restorative Nursing Course - 2026 - Montero Therapy and MDS Services

1. Question

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

All of the following benefits are TRUE EXCEPT which one?

A RNP can help the facility comply with OBRA '87 and F-Tag 675 Quality of Life by ensuring residents attain or maintain their highest level of function while in the SNF setting

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A RNP can help focus on a Quality Measure area of need to help reduce residents triggering for certain QMs

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A RNP can help boost the daily reimbursement rate for Medicare Part A residents and/or the Medicaid Daily Rate for Medicaid residents in some states

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A RNP can take the place of skilled therapy (PT, OT, SLP) when the therapy department is short staffed

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2. Question

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

A physician order is not needed for a RNP

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SNFs have flexibility when establishing a RNP in their facility. Each program must be supported by Policies and Procedures.

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At least 2 Restorative Nursing Programs must be provided a minimum of 15 minutes each per day, 6 of the 7 days in the lookback period.

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Restorative Nursing Can be provided in a Group setting of no more than 5 residents per caregiver

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Restorative Nursing Programs and Skilled PT/OT/Speech programs can be active at the same time (a resident can be on both types of programs)

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3. Question

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?

A Registered (RN) or Licensed Practical (LPN) / Vocational (LVN) Nurse must supervise the activities in a RNP. In States where the Nursing Practice Act does not allow LPN/LVNs to assess or supervise, a RN would be required to oversee the RNP.

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Resident RNPs are established based on the Licensed Nurses Evaluation, Measurable Goals/Objectives and Re-evaluations

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Restorative Nurse Aides that carry out RNPs must have proof of specialized training (by Nursing and/or Therapy)

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A periodic evaluation by the Licensed Nurse must be present in the medical record.

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Although therapists may participate, members of the Nursing Staff are still responsible for overall coordination and supervision of all RNPs.

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Restorative Nursing Programs are the same as Functional Maintenance Programs

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4. Question

The following items all qualify as Restorative Nursing Programs:

Passive Range of Motion
Active Range of Motion
Splint/Brace Assistance
Bed Mobility
Transfer Practice
Walking Practice
Dressing / Grooming
Eating and/or Swallowing
Amputation/Prosthesis Care
Communication
Bowel and Bladder Training

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

Transfer and Walking

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Bed Mobility and Transfers

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Bed Mobility and Walking

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Eating and Communication

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5. Question

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

Select all that apply:

An individualized assessment of bladder or bowel patterns with the design of a resident-specific program based on the assessment

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Evidence that the program was communicated to staff and residents verbally and via a written care plan report

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Documented resident response to the program with each visit, with re-assessments as needed

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Documentation to support resident participation in the program at least 4 days in the 7-day lookback

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All of the above are required to code a B&B Program under Restorative Nursing

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6. Question

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?

PBC2

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PDE1

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PDE2

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The score will remain PBC1

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7. Question

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?

The resident's score will increase from PBC1 to PBC2 to reflect the addition of Restorative Nursing

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The resident's score will increase to PDE2 to reflect the addition of Restorative Nursing

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The resident will now score in the Clinically Complex Group (CBC1) because of the IV Medications. Restorative Nursing will still be coded on the MDS but there is no score impact from the RNP.

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The resident will continue to score PBC1 as neither the RNP nor the IV Medication impacts the score

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8. Question

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?

CDE2 / 1.77 / $225.99 per day

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BAB2 / 0.98 / $125.13 per day

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PDE2 / 1.48 / $188.97 per day

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None of the above

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9. Question

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?

The resident's score will increase from HDE1 to HDE2

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The resident's score will increase from LDE1 to LDE2

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The resident's score will increase from PDE1 to PDE2

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The resident's score will remain in the Special Care Low Nursing Category for Parkinson's Disease. Restorative Nursing Programs do not impact the scores in this catetory.

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10. Question

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

True

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False

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Quiz: Restorative Nursing Course – 2026

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