Ch8 Verified Test Bank Body Mechanics Positioning, Moving,

Chapter 8

Body Mechanics: Positioning, Moving, and Transporting Clients

Multiple Choice Questions

1. The acronym SAFE is a way for the personal care provider to remember the key principles of safe body mechanics. SAFE refers to:

A) set, anchor, force ensure

B) secure, angle, face, ensure

C) set, angle, face, ensure

D) set, anchor, face, ensure

2. Within the acronym SAFE, ensure refers to:

A) ensuring your feet and legs are in a stance position

B) ensuring you have the skills to perform the movement safely

C) ensuring you are facing forward to avoid twisting your back

D) ensuring your arms are close to your body for maximum strength

3. When moving or lifting a client,

A) the client’s body should be straight and properly supported.

B) you should only worry about your own body alignment

C) you should wait to move the client until the patient can help you.

D) ask for direction from your supervisor.

4. When using the side-to-side weight-shift procedure, the personal care provider should:

A) keep your arms away from your side

B) keep your feet spaced slightly greater than a shoulder width apart

C) keep your knees straight

D) plant your feet with one foot forward and the other foot back

5. To dangle a patient means to have the patient

A) lie in the prone position.

B) suspended in a mechanical lift.

C) lie in the Sims' position.

D) sit upright on the edge of the bed with the feet

hanging down.

6. For moving clients in their beds more easily, the best way to avoid friction and irritation to the client’s skin is to

A) slide the patient

B) use a pull sheet

C) roll the patient

D) lift the patient

7. To move a handicapped client who is on his back to one side of the bed, you should first:

A) adjust the pillow

B) move his hips toward you

C) move his shoulders toward you

D) push his hips away from you

8. Supine position means the client is:

A) lying on their back.

B) on their back; head slightly raised.

C) on their stomach.

D) on their back; head downhill

9. Trendelenburg position means the client is:

A) lying on their back with their head about one foot below the level of their knees

B) flat on their back

C) on their stomach

D) on their back; head slightly raised

10. Dorsal lithotomy position means the client:

A) is on their left side; right leg bent

B) has bent knees and legs separated

C) is on their knees; head on pillow

D) is flat on their back; head and knees raised

11. You and another nursing assistant are moving a client from a bed onto a stretcher.

One of you should be at the:

A) head of the bed, and the other at the foot of the bed.

B) head of the bed, and the other at the far side of

the stretcher.

C) far side of the bed, and the other at the far side of the stretcher.

D) left side of the bed, and the other at the far side of the stretcher.

12. To move an immobile client up in bed:

A) ask another member of the nursing staff to work with you

B) you should always use a mechanical patient-lifting device

C) you should slide and lift the client

D) you should move the client as quickly as possible

13. Fowler's position means that the client is:

A) on their back; with their head at about a 45-degree angle

B) on their back; knees bent

C) on their left side; right leg bent

D) on their knees; head on pillow

14. Sims' position means that the client:

A) is in a partial side-lying and partial prone position.

B) has their head lower than their feet.

C) is on their stomach.

D) is on their back.

15. Before logrolling a client onto the patient's side, you should lock the wheels of the bed and

A) position the pull sheet.

B) place a small pillow under the client's back.

C) raise the side rails at the far side of the bed.

D) bend your knees with your feet together.

16. When taking a client in a wheelchair down a steep ramp you should

A) walk backwards holding the chair and moving it carefully down the ramp.

B) face forward pulling the chair behind you.

C) walk backwards pulling the chair from its front end.

D) face forward pushing the chair ahead of you.

17. After moving a client from bed into a wheelchair, you observe that the client is

perspiring and becoming pale. You should:

A) use the signal light to call for help.

B) go to the nursing station for help.

C) wheel the patient to the nurse's station.

D) use a house phone to call a doctor.

18. When moving a client in bed, always ask them to assist if they are able in any way because

A) it is good for them to use their muscles.

B) it is good for self-esteem.

C) it is required by JCAHO.

D) all of the above

19. You have just helped a client out of a wheelchair. You now have the patient sitting on

the side of the bed. After leaning the patient toward the raised head of the bed, you should

A) swing the patient’s body slowly around and help him/her to lift his/her legs onto the bed.

B) raise the side rail.

C) lower the head of the bed.

D) help the client move to the center of the bed.

20. When working with clients of bariatric size, personal care providers needs to be aware of the following:

A) the importance of dietary advice for these clients

B) ensuring dependence for these clients

C) avoiding family assistance for these clients

D) breathing issues and shortness of breath for these clients

21. When assisting clients to ambulate with a transfer or gait belt, the personal care provider needs to be aware of the following acronym:

A) simple

B) successful

C) solid

D) succession

22. If a client appears to be falling during a transfer, the personal care provider should:

A) try to stop the fall by pulling up on the transfer belt

B) ensure you do not also reach the floor

C) allow the client to regain a standing positon when they feel able

D) use a mechanical lift if the client is not able to get up from the floor on his own

23. When you need to move a heavy object, it is better to

A) carry it.

B) lift it.

C) pull it.

D) push, or roll it.

24. After turning the client, the very last step in any turning procedure is to

A) wash your hands.

B) straighten out the covers.

C) wait ten minutes to see if the client is comfortable.

D) report to your immediate supervisor that you have changed the client's position.

25. When using a mechanical client lift, you do this step first,

A) wash your hands.

B) check the client’s ID bracelet.

C) ask visitors to leave the room.

D) assemble equipment.

True/False Questions:

1. When practicing safe body mechanics, the personal care provider should maintain the natural curve of their spine by keeping their chest up and bottom out.

2. Performing safe body mechanics is not something people do automatically

3. Moving the patient from one place to another is called positioning the patient.

4. When you are moving and object and you want to change the direction of the movement, you should pivot.

5. Dorsal recumbent position refers to lying down or reclining.

6. Body mechanics refers to special ways of standing and moving.

7. Immobile means unable to move without assistance.

8. The nursing assistant pushes the wheelchair from behind, even when entering an elevator or going down a ramp.

9. The stretcher enters the elevator first.

10. For every patient who is lying on a stretcher, the side rails should be in the "up" position.

11. When moving a patient in bed, in a wheelchair, or on to a stretcher, maintain the natural curves in your back.

12. A pull sheet is useful when you are moving a patient.

13. When moving a patient up in bed, use a pull sheet to avoid friction on the patient's skin.

14. When you enter an elevator, pull the wheelchair into the elevator backwards.

a wheelchair and by stretcher

15. When you are moving a client down a steep incline or ramp, you should take the chair down backwards.

a wheelchair and by stretcher

16. A client of bariatric size refers to someone who may weigh 182 kilograms (400 pounds) or more.

17. Repositioning sheets that hook up to the overhead lift can be used to turn bariatric clients in bed.

18. When transferring a client using a transfer (gait) belt, the personal care provider lifts on the transfer belt to help him stand.

19. Sometimes when assisting clients with ambulation, they may suddenly complain of dizziness or faintness, or fall without warning. In this situation, the personal care provider should attempt to catch or stop a client’s fall.

20. Fowler's position is when the head of the bed is at a 45-degree angle.

21. Ambulatory means able to walk or move about.

22. Bedridden means to be unable to get out of bed.

23. The arrangement of the body in a straight line is known as body alignment.

24. When you use good body mechanics you will feel less tired at the end of the day.