Community Caregivers. Effects of Immobility, Transfers and Positioning Test

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Roxanne Hodge
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1 Community Caregivers Effects of Immobility, Transfers and Positioning Test Name: Date: For each question, choose the best response or responses. 1. The key effect of immobility is: a. Increased incontinence b. Clothes do not fit properly c. Pressure Sores d. None of the above 2. What is the definition of a pressure sore? a. Force exerted on the body when it comes in contact with any object b. Breakdown of the skin as a result of prolonged pressure over a bony prominence c. A sore that results from neglect and not properly moisturizing the skin 3. Circle all of the causes of skin breakdown from the list below: a. Pressure b. Wrinkles in the linen c. Neglecting to clean the skin properly d. Forgetting to reposition the client every 15 minutes 4. The very first thing you should do before starting a transfer is: a. Wash your hands b. Lower the head of the bed c. Call the doctor d. Begin with a narrow base of support 5. Upon attempting to assist your client from the bed to a chair, you notice that the client becomes weak and hesitant. You realize that you need to: a. Ask the client to hold the side rail b. Seek assistance from a family member or gently lower the client to the floor c. Continue to transfer the client using all of your muscle strength d. Tell the client to hurry to get off the bed 6. To maintain a "base of support" when transferring a client, you need to keep your feet: a. Very close together b. Pointed in the direction of the movement c. Wherever it feels most comfortable for you d. Pointed in the opposite direction of the movement 1

2 7. When positioning a lift sheet under a client, is should extend from the: a. Waist to the calves b. Shoulders to the knees c. Breasts to the knees d. Waist to the knees 8. The purpose of dangling the client at the side of the bed prior to transferring is to: a. Strengthen his/her muscles before standing b. Improve circulation of the legs and feet c. Help adjust to the change in position d. Prevent contraction of the joints 9. When performing passive range of motion you must remember to: a. Ask for assistance b. Avoid range of motion if the client is a diabetic c. Avoid moving the client who is incontinent d. Avoid moving the joint beyond the point of pain 10. When assisting a client to stand from a chair to a walker, you should instruct the client to: a. Place hands on the walker to stand b. Make sure he/she is wearing his/her lifeline c. Place his/her hands on the chair to push as he/she stands d. Stand and walk to retrieve the walker 11. When performing passive range of motion, you must recognize the importance of: a. Moving the joint beyond the point of pain b. Repeating the movement at least 20 times c. Moving the joint slowly and gently d. Putting the client in the position that is the most comfortable for you 12. Passive range of motion would be best used for which type of client? a. A client having outpatient surgery b. An ambulatory client c. A paralyzed or unconscious client d. A client being discharged from care 13. An ambulatory client who is being assisted to the bathroom says that she feels like she is going to faint. You should: a. Help the client to the nearby chair b. Try to hold the client in an upright position and call for help c. Move the furniture out of the way so that she won't hurt herself when she falls d. Hit the lifeline button and wait for EMS 2

3 14. While bathing a client, you notice a reddened area on her shoulder. To prevent formation of a decubitus, it would be best to: a. Apply lotion b. Rub the area vigorously with the tips of your fingers c. Gently massage around the area and report your observation to the nurse d. Don't do anything and check the area the next time you see the client 15. The position that is used to assist the client with respiratory illness who has trouble breathing is: a. Sims b. Trendelenberg c. Orthopneic d. The upright, sitting position 16. When caring for a totally dependent, or bed-bound client, the most important procedure is: a. A daily bath b. Fresh linen c. Proper positioning d. Diet instruction 17. A wide base of support is important because it provides: a. Strength and mobility b. Stronger muscles c. Comfort and ease d. Stability and balance 18. Which of the following actions is important for maintaining proper body mechanics? a. Keep the center of gravity high b. Maintain good body alignment c. Keep the line of gravity horizontal d. Keep the base of support slightly narrow 19. When documenting on a turn schedule for a client, you should: a. Document it when they have a pressure sore b. Document the position as well as the time you changed positions c. Just document the time d. It is not necessary to document 20. Range of motion is only performed when: a. The client asks for it b. The physician orders it and you are instructed by a nurse to do so c. You think a client could use a little more exercise d. A client is trying to lose weight 3

4 Match the definitions below with the correct terms at right. 21. An imaginary line through the midline of the body 22. The area on which the body rests a. Center of gravity b. Correct alignment c. Line of gravity d. Base of support e. Body mechanics 23. The middle of the pelvic area Match the definitions below with the correct terms at right. 24. Decrease the angle of the joint 25. Toward the middle of the body 26. Toes of the feet pointed towards the bed 27. Palms of the hands turned upward 28. Side to side turning Rotation b. Extension c. Flexion d. Adduction e. Abduction f. Plantar flexion g. Circumduction h. Supination i. Dorsi flexion j. Pronation 29. Proper body mechanics for lifting are: a. Twist at the waist b. Lift with your back not your legs c. Bring the object close to you d. Always keep your knees straight 30. Which of the following does not contribute to the formation of a pressure ulcer: a. Moisture b. Pressure relief c. F riction d. External pressure 31. Which of the following are pressure points: a. The sacrum b. Hip bone c. E l b o w d. All of the above 4

5 32. Two areas of the body that need support when lying on one s side are: a. The head b. Top arm c. Both of the above d. Neither of the above 33. The prone position is when the person is lying on his or her: a. B a c k b. S i d e c. Abdomen d. Lower back 34. Moving and positioning your body correctly is called: a. Principles of pressure points b. Principles of body mechanics c. Principles of external rotation d. Body movement guidelines 35. When moving someone to the edge of the bed, begin by: a. Sliding one of your arms under the person s shoulders and your other arm under the back. b. Sliding your arms along the sheet as you shift your weight to your back foot. c. Sliding one of your arms under the person s hips and the other under the thighs. d. Grasping the draw sheet at the person s hip and pulling it toward you. 36. A draw sheet is: a. A bed sheet that is folded in half hem-to-hem. b. An aid for moving someone that is unable to help you. c. Placed in the center of the bed between the shoulders and mid-thigh. d. All of the above. 37. A mechanical lift can cause fear for some people. You can help relieve fear by: a. Moving him or her as quickly as possible. b. Explaining to the patient each step along the way. c. Moving slowly. d. B and C only. 38. Elasticized stockings should be removed and put on again: a. E v e r y d a y b. Every 12 hours c. Every 8 hours d. Every 6 hours 39. The best way to prevent pressure ulcers is frequent repositioning and a daily examination of the skin. 5

6 40. Never leave someone on the bedpan for long periods of time. Bedpans may constrict blood vessels, which can cause skin breakdown. 41. The major cause of pressure ulcers is bedwetting. True False 42. A clean, wrinkle-free bed helps prevent pressure ulcers. 43. In the 30-degree Fowler s or modified sitting up in bed position, there is less pressure on the lower back. 44. To turn someone on the side away from you, have the person cross his/her arms over the chest. Then cross the leg that is farthest from you over the leg that is closest to you. Match the appropriate picture from the following page with the correct term below. 45. Knee chest 46. Sims 47. Dorsal recumbent 48. Fowlers 49. Prone 50. Supine 6

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Range of motion and positioning

Range of motion and positioning Learning guide Why is motion important? Most people take free, comfortable movement for granted. Motion is meant to be smooth and painless. The ligaments, tendons, muscles,