Ch7 Positioning Your Patient For Mobility Test Bank

Chapter 7: Positioning Your Patient for Mobility

Multiple Choice

1. When determining which mobility procedures to use in patient care, what is the FIRST question that should be considered?
   1. How much assistance will be required for the maneuver?
   2. What am I trying to accomplish with the maneuver?
   3. Which movement does the patient want to practice?
   4. Which movement will be the easiest for the patient?
2. At the conclusion of a treatment session in the acute care setting, a clinician leaves the patient in the bedside chair. The patient plans to return to bed immediately after eating lunch, which has just arrived. When positioning the patient in the chair, which of the following considerations is MOST important?
   1. Positioning the patient to prevent bilateral hip flexion contractures
   2. Positioning the patient to prevent the development of pressure sores on the heels
   3. Positioning the patient to promote comfort and effective swallowing while out of bed
   4. Positioning the patient to promote lower-extremity circulation
3. Which of the following is true regarding spinal alignment of the seated patient?
   1. Poor alignment can lead to increased mechanical loading and pain.
   2. Allowing the feet to hang unsupported will decrease low-back stress.
   3. In sitting, lumbar lordosis automatically self-corrects.
   4. Increased thoracic kyphosis is unrelated to cervical lordosis.
4. When working with a patient with severe thoracic kyphosis who fell and has a bruised right hip, which of the following positions would be BEST for inspecting the skin on her back?
   1. Long-sitting on the bed
   2. Prone with a small pillow under her abdomen
   3. Sidelying on her left side
   4. Sidelying on her right side
5. Which of the following factors must be considered for long-term positioning of patients?
   1. Patient comfort is always the most important factor in long-term positioning.
   2. A patient’s lungs will drain optimally while the patient is in a sidelying position.
   3. Patients need frequent changes of position to minimize the negative effects of immobility.
   4. Patients should be positioned supine for at least 60% of the day.
6. When working with a 14-year-old girl who was in a motor vehicle accident and is now comatose in the intensive care unit (ICU), which of the following would be MOST appropriate to tell the family regarding appropriate positioning?
   1. The inability to move independently makes her more vulnerable to skin breakdown.
   2. The patient needs to be repositioned every 3 hours when she is lying in bed.
   3. The patient should not remain sitting with the head of the bed elevated more than 45 degrees for more than 3 hours.
   4. The patient should have a pillow under her heels while she is supine.
7. Which method should be used to screen for patient tolerance of pressure on lightly pigmented skin?
   1. Press firmly with one or two fingers on the skin in question, hold for 30 seconds, then release.
   2. Press firmly with one or two fingers on the skin in question, hold for 1 minute, then release.
   3. Press gently with one or two fingers on the skin in question and quickly release.
   4. Press gently and quickly with one or two fingers on the skin in question three or four times, then release.
8. Which of the following is true regarding contractures?
   1. Contractures generally do not affect the strength of the muscle.
   2. Contractures may result in permanent loss of joint motion that does not respond to stretching.
   3. Contractures generally tend to occur in positions of extension.
   4. Contractures are limited to responses within muscle tissue.
9. When working with a 64-year-old man who had a stroke resulting in right upper-extremity weakness, which of the following positions is BEST to decrease the patient’s risk for developing edema in the right hand?
   1. Right arm across the chest while the patient is lying on his left side
   2. Right hand on a pillow, elevated higher than the heart, while the patient is supine
   3. Right arm by his side with the fingers extended and palm facing up while the patient is supine
   4. Right forearm supported on the armrest while the patient is sitting in a wheelchair
10. Which of the following positions is MOST appropriate for a patient who sustained a spinal cord injury and is unable to move below the level of the umbilicus?
    1. Supine with a medium-sized pillow under the knees
    2. Supine with a large pillow behind the shoulder blades
    3. In a three-quarters supine position with pillows behind the head and between the legs
    4. Prone with a large pillow under the feet
11. Which of the following is the MOST appropriate positioning protocol for an individual with a traumatic brain injury during hospitalization?
    1. Reposition the patient and inspect the skin every 4 hours.
    2. Reposition the patient and inspect the skin every 2 hours.
    3. Reposition the patient and inspect the skin twice a day.
    4. There is no need to reposition the patient while in a hospital bed.
12. When considering the use of restraints, which of the following is true?
    1. If the device is used to protect the patient, it is not considered a restraint.
    2. Using a device that the patient is able to release reduces the level of restrictiveness of a restraint.
    3. Restraints are generally identified by their shape or design.
    4. The application of restraints is not regulated by Medicare.
13. When testing for integumentary tolerance to pressure during positioning, observing which of the following responses to a skin-blanching test would indicate healthy tissue?
    1. Light skin that turns white immediately and then becomes pink within a few seconds
    2. Light skin that turns pink immediately and then becomes white within a few seconds
    3. Light skin that shows no change in response to the release of pressure
    4. Dark skin that shows no change in response to the release of pressure
14. Which of the following supine positions would be MOST appropriate to prevent a contracture commonly associated with increased muscle tone following a stroke with left hemiparesis?
    1. Tuck a pillow under the outer aspect of the left side to prevent left hip abduction and external rotation.
    2. Place a pillow under the patient’s knees to relieve pressure on the heels.
    3. Place a pillow under the patient’s left shoulder blade to promote scapular protraction.
    4. Tuck a pillow under the patient’s pelvis on the right side.
15. Which of the following represents the BEST positioning for a patient who had a traumatic transtibial amputation 2 days ago?
    1. Place a pillow under the knee of the residual limb to improve comfort in the supine position.
    2. Instruct the patient to spend time in the prone position each day to encourage extension of the affected hip and knee.
    3. While sitting, rotate the residual limb out to stretch the hip adductor muscles.
    4. While sitting, position the knee of the residual limb in flexion to encourage circulation to the surgical site.
16. Which of the following positions places a patient at GREATEST risk for dislocation following a total hip arthroplasty using a posterolateral approach?
    1. Hip flexion at 100 degrees with internal rotation
    2. Hip flexion at 90 degrees with external rotation
    3. Hip abduction at 45 degrees with external rotation
    4. Hip adduction at neutral with hip flexion at 90 degrees