Verified Test Bank Bed Mobility Ch10

Chapter 10: Bed Mobility

Multiple Choice

1. Which of the following statements regarding bed mobility activities is true?
   1. Normal movement patterns are not generally considered.
   2. Patients’ movements are best controlled by applying forces centrally.
   3. Directing patients’ movements is best done with cues at the shoulders and hips.
   4. Soft, pliable surfaces are easier for patients to move on.
2. Which of the following statements regarding bridging is true?
   1. The ending position is one of nearly full hip extension.
   2. The maneuver is best performed with the patient in the prone position.
   3. The patient is instructed to use the head and neck to assist.
   4. The pelvis remains in an anterior tilt throughout the maneuver.
3. When working with a 79-year-old woman following a surgical repair of a right hip fracture, which technique would be MOST appropriate to use to assist her in scooting to the head of the bed if she is non–weight bearing?
   1. Ask her to bend her left leg only and bridge, using her arms to assist.
   2. Ask her to bridge and use her arms to help move herself up in bed.
   3. Ask her to use the overhead trapeze and pull herself up.
   4. Move her up using a drawsheet with two assistants.
4. During assisted bed mobility activities, the pelvic and shoulder girdles are considered _____________________________________.
   1. Centers of mass
   2. Points of control
   3. Prime movers
   4. Stabilizing points
5. When assisting a patient who requires moderate to maximum assistance into a long-sitting position in the bed, which of the following is the BEST position for the clinician to assume?
   1. Beside and slightly behind the patient, facing in the same direction as the patient
   2. Beside and slightly in front of the patient, facing in the same direction as the patient
   3. Beside the patient, with the patient holding onto the clinican’s forearm
   4. In front of the patient, holding onto the gait belt
6. When assisting a patient to sitting, one hand is placed over the humeral head of the shoulder that is against the bed. Which of the following is the BEST rationale for this hand placement?
   1. Force applied at the humeral head allows for an effective line of force.
   2. Force applied downward will facilitate abduction of the shoulder.
   3. The humeral head creates a short lever arm, making it easier for the clinician to assist.
   4. Using the humeral head will ensure that your patient does not pull on you.
7. Which of the following is the BEST technique for performing supine to sit for a patient who underwent a left total hip arthroplasty using a posterolateral approach?
   1. Long-sitting with transitioning to sitting on the side of the bed
   2. Passively bringing her to sitting on the side of the bed using the drawsheet
   3. Rolling her to the left side and transitioning her to sitting on the side of the bed
   4. Rolling her to the right side and transitioning her to sitting on the side of the bed
8. Which of the following is the KEY element of log-rolling?
   1. Knee flexion in preparation for movement
   2. Maintaining a neutral spine throughout the task
   3. Pushing the patient with your underside arm to sitting from sidelying
   4. Reaching across the patient’s body to pull the patient into sidelying position
9. When patients demonstrate generalized weakness, which of the following characteristics is commonly observed during their attempts at functional mobility?
   1. They use extension to replace flexion.
   2. They use flexion to replace extension.
   3. They use rotational movements to replace extension.
   4. They use rotational movements to replace flexion.
10. Patients often require physical assistance when moving in bed. Which is the most effective approach to applying force to assist the patient?
    1. Apply force more proximally on the patient.
    2. Apply force more distally on the patient.
    3. Apply a distracting force on both sides of the patient.
    4. Apply a distracting force on bilateral upper or lower extremities.
11. To minimize repositioning, where should a patient, who is about to lie down, sit on the edge of the bed?
    1. At the midpoint between the head and foot of the bed
    2. Just below the midpoint between the head and foot of the bed
    3. One-third of the way down from the head of the bed
    4. One-third of the way up from the foot of the bed
12. When transitioning from supine to sitting through sidelying, what is the advantage of moving both legs off the edge of the bed together?
    1. It allows the patient to maintain a neutral spine.
    2. It is easier to move the legs together than individually.
    3. It shifts the load to the upper extremities.
    4. The legs provide a counterweight to the upper body.
13. Weight-bearing in modified plantigrade is shared by __________________________.
    1. Both feet
    2. Both feet and both hands
    3. Both knees and both hands
    4. One knee and one foot