Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

For a patient with a left-hemisphere CVA, which bladder retraining program is MOST likely to be implemented?

1. Prompted voiding schedule

2. Timed voiding schedule

3. Pelvic floor strengthening exercises

4. Continuous catheterization

The correct answer is: Timed voiding schedule

For a patient who has experienced a left-hemisphere cerebrovascular accident (CVA), a timed voiding schedule is often the most appropriate bladder retraining program. This approach helps to establish a routine for voiding, which can be especially beneficial for patients who may have difficulties with urinary control. In cases of left-hemisphere CVA, patients may experience cognitive deficits, including memory issues or difficulties with spatial awareness, which can impact their ability to recognize the need to void. A timed voiding schedule creates predetermined times for bathroom visits, thereby reducing the risk of incontinence and helping to re-establish normal bladder patterns. Timed voiding also assists patients in understanding their bodily cues in relation to the schedule, promoting a sense of control and routine. This structured approach can be easier for patients with left-hemisphere damage to manage, given that it provides clear guidance without overwhelming them with the need to self-initiate voiding based on internal cues. The other methods, while beneficial in specific circumstances, may not be as effective for this particular population. Prompted voiding schedules rely heavily on cognitive function and the patient's ability to respond, which may be compromised following a left-hemisphere stroke. Pelvic floor strengthening exercises can be an important component of