Test Bank Docx Chapter 13 Seated Mobility & Wheelchairs

Chapter 13: Seated Mobility: Sitting but Not Sitting Still––Fitting and Propelling a Wheelchair

Multiple Choice

1. Which of the following is true regarding a properly positioned armrest on a wheelchair?
   1. It adds no additional weight to the chair.
   2. It positions the shoulder in 0 degree abduction.
   3. It is not designed to be load-bearing.
   4. It can decrease the weight on the buttocks.
2. A 58-year-old woman is ready for discharge home and will need a wheelchair for use at her office. She will spend most of her time in the wheelchair and easily fatigues from wheelchair propulsion. Which of the following armrest options would be BEST for this patient?
   1. Removable desk armrests
   2. Fixed full-length armrests
   3. Removable full-length armrests
   4. Tubular armrests
3. Which of the following wheelchair frames is MOST appropriate when the primary concern is shock absorption when traveling over rough or uneven surfaces?
   1. Folding-frame wheelchair
   2. Heavy-duty wheelchair frame
   3. One-arm–drive wheelchair
   4. Standard wheelchair box frame
4. Use of a sling seat in a wheelchair tends to result in all of the following EXCEPT:________________.
   1. A forward head posture
   2. Decreased thoracic kyphosis
   3. Bilateral hip adduction and internal rotation
   4. Increased stress on the structure of the trunk
5. Which of the following measures for wheelchair fitting is best taken with the patient in the supine position?
   1. Back height
   2. Seat height
   3. Seat depth
   4. Seat width
6. Which of the following is the BEST way for a wheelchair user to negotiate very steep slopes?
   1. Go up the slope using a zigzagging path.
   2. Have someone pull the chair up the slope backward.
   3. Tip the chair into a wheelie position and go up the slope backward.
   4. Tip the chair into a wheelie position and go up the slope forward.
7. Which of the following represents the BEST safety instruction for a patient who is learning to manage a sideways fall in a wheelchair?
   1. Extend the arm toward the floor in the direction of the fall.
   2. Flex the elbows to allow the arm muscles to absorb some of the impact.
   3. Laterally flex the head away from the ground and tuck the arms close to the chest.
   4. Tuck the chin toward the chest to protect the head.
8. For the optimal push angle, wheelchair seat alignment should allow how much elbow flexion when the hand is at the apex of the wheel?
   1. 20 to 30 degrees
   2. 45 to 60 degrees
   3. 80 to 90 degrees
   4. 100 to 120 degrees
9. Your patient is a 43-year-old woman with multiple sclerosis who needs a wheelchair for occasional use, especially for locomotion over long distances. Her husband will push her during such trips. He will also put the chair in the car trunk for transportation. Which of the following is likely to be the most appropriate type of legrest for this patient?
   1. Elevating legrests
   2. Fixed legrests
   3. Removable swing-away legrests
   4. Rigid footplate only
10. Which of the following BEST describes an articulating legrest?
    1. It is lighter than a standard elevating legrest.
    2. It can be raised to a maximum of 70 degrees.
    3. The footplate extends a few inches as the legrest is elevated.
    4. It stays the same length as the legrest is elevated.
11. Which of the following legrests would be MOST appropriate for a sedentary and deconditioned 63-year-old man with a history of cancer who lives alone?
    1. Removable articulating legrests
    2. Removable elevating legrests
    3. Nonremovable, fixed footrests
    4. Removable swing-away legrests
12. In considering wheelchair casters, which of the following choices is MOST appropriate when the primary concern is chair stability?
    1. 2-in. casters
    2. 5-in. casters
    3. 6-in. casters
    4. 8-in. casters
13. Assuming a patient has adequate strength and range of motion, which of the following instructions should be provided for the MOST efficient forward propulsion using both hands?
    1. Place one arm behind you and one slightly in front of you (at the 10 o’clock and 12 o’clock positions on the pushrims).
    2. Place both arms behind you (at approximately the 10 o’clock position on the pushrims).
    3. Push the pushrims forward with long strokes, releasing them at about the 4 o’clock position on the pushrims.
    4. Push the pushrims forward with short, quick strokes.
14. When assisting a patient with wheelchair fitting, which of the following is the FIRST goal in achieving postural stability?
    1. Positioning the feet correctly
    2. Positioning the head correctly
    3. Positioning the pelvis correctly
    4. Positioning the trunk correctly

True/False

15. Wheelchair selection is the domain of the durable medical equipment vendors and as such does not fall within the scope of skilled patient care.

16. The most common method of transporting a patient in a wheelchair up and down steps is to ascend the steps backward.