Chapter 15 - Body Mechanics And Patient Mobility

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Chapter 15 - Body Mechanics And Patient Mobility

From Foundations of Nursing, (6th ed), by Christensen and Kockrow, pages 369-393


Questions and Answers
  • 1. 
    The most serious injuries occur when you.......
    • A. 

      Pull and push using your thigh muscles

    • B. 

      Twist and lift at the same time

    • C. 

      Carry heavy loads without back support

    • D. 

      Drag a dead weight patient on the floor

  • 2. 
    When do injuries most likely occur? Select all that apply:
    • A. 

      When you perform tasks that require you to exert yourself forcefully

    • B. 

      When you perform repetitive movements

    • C. 

      When you maintain an awkward or static posture

    • D. 

      When you are moving from bed to chair

  • 3. 
    Field of Physiology that studies muscular actions and the functions of muscles in maintaining the posture of the body.
    • A. 

      Physiological dynamics

    • B. 

      Body Mechanics

    • C. 

      Body Kinetics

    • D. 

      Kinesiology

  • 4. 
    When lifting a patient, why are we asked to use our arms and legs and not our back?
    • A. 

      There really is no difference between the use of back or arms and legs.

    • B. 

      Arms and legs are more flexible than our back

    • C. 

      Leg muscles are stronger, larger muscles capable of greater work without injury

    • D. 

      The arms and legs have a better leverage to pull a weight

  • 5. 
    Refers to the relationship of various body parts to each other
    • A. 

      Body mechanics

    • B. 

      Alignment

    • C. 

      Physiology

    • D. 

      Kinesiology

  • 6. 
    What is the approximate measurement needed to keep a wide base of support?
    • A. 

      1.5 times the length of the shoes

    • B. 

      1.5 inches between our feet

    • C. 

      1.5 times the width of our feet

    • D. 

      1.5 feet from the object we are lifting

  • 7. 
    _____________muscles and the ____________system maintain equilibrium, or balance, which facilitates appropriate body alignment when lifting, bending, moving, and doing other activities.
    • A. 

      Skeletal, nervous

    • B. 

      Cardiac, propiocetary

    • C. 

      Tissue, vestibular

    • D. 

      Striated, skeletal

  • 8. 
    Which of the following statements are true regarding good position for body mechanics? Select all that apply:
    • A. 

      Chin is high and parallel to the floor

    • B. 

      Abdomen is tightened (internal girdle) in and up with gluteal muscles tucked in

    • C. 

      Feet are spread apart for a broad base of support

    • D. 

      Center of gravity is at the lowest quadrant of extremities

  • 9. 
    Which of the following is contraindicated against good body mechanics? 
    • A. 

      Avoid bending from the waist because this will in time strain the lower back.

    • B. 

      Work at a height or level that is comfortable and easy for you

    • C. 

      Carry objects away from the midline of your body and try to reach as far as possible.

    • D. 

      Know the maximum weight that is safe to carry

  • 10. 
    In order to prevent thrombophlebitis, we teach our patient not to.....
    • A. 

      Cross their eyes when sleeping

    • B. 

      Cross their arms when standing up

    • C. 

      Cross their legs when sitting

    • D. 

      Cross the road while the train is passing

  • 11. 
    Injuries at work may take place because of the following reasons. Choose all that apply: 
    • A. 

      Repetitive movements

    • B. 

      Awkward static posture

    • C. 

      Wrong body mechanics

    • D. 

      Regular use of lifts and other devices

  • 12. 
    Based on evidence based practice, which of the following is no longer true about devices fr transferring patients? 
    • A. 

      Health care agencies need to provide devices to reduce risk of injury associated with lateral transfers

    • B. 

      Nurses are encourages to use draw sheets for transferring patients because they are cost efficient

    • C. 

      Use assisted devices, preferably air-assisted devices when performing lateral transfers

    • D. 

      All of the above are good devices for transferring patients

  • 13. 
    When planning to move a patient, two workers lifting together will...... 
    • A. 

      Reduce the work load by 50%

    • B. 

      Make work less boring

    • C. 

      Provide patient with more comfort

    • D. 

      Allow more time do to things.

  • 14. 
    Ways to protect back injury. Select all that apply 
    • A. 

      Bending knees and hips before lifting

    • B. 

      Avoid bending from the waist

    • C. 

      Avoid twisting

    • D. 

      Put left foot forward before lifting

  • 15. 
    Actions that promote proper body mechanics. Select all that apply:
    • A. 

      Position feet 6 to 8 inches apart

    • B. 

      Align and balance weight on one foot

    • C. 

      Flex knees slightly

    • D. 

      Contract abdominal muscles in and up

    • E. 

      Face your work area

  • 16. 
    We know that a patient understands how to prevent thrombophlebitis when ......
    • A. 

      He agrees to be repositioned in bed every 2 hours

    • B. 

      He needs to cough out phlegm to foster patient respiration

    • C. 

      He does not cross legs when sitting

    • D. 

      He agrees to do ROM excercises daily

  • 17. 
    What do the dorsal supine and dorsal recumbent positions have in common?
    • A. 

      Both require lying on back

    • B. 

      Both have extremities moderately flexed

    • C. 

      The head of the bed is raised 45 degrees

    • D. 

      The bed is at its lowest position

  • 18. 
    Semi-fowlers and Fowler's position both focus on which anatomical part of the human body? 
    • A. 

      Pelvic area

    • B. 

      Thoracic region

    • C. 

      Abdominal area

    • D. 

      Lower extremities

  • 19. 
    Trochanter rolls or sandbags are placed parallel to lateral surface of thighs for what reason?
    • A. 

      Provide warmth

    • B. 

      Elevate the head

    • C. 

      Reduces external rotation of the hip

    • D. 

      Reduces pressure on heels

    • E. 

      Promotes good body mechanics

  • 20. 
    Which of these is not a complication of immobility?
    • A. 

      Muscle, bone atrophy and asthenia

    • B. 

      Contractures, constipation and pressure ulcers

    • C. 

      UTI and disuse osteoporosis

    • D. 

      Hypostatic pneumonia, renal calculi, and pulmonary embolism

    • E. 

      Alopecia, strabismus and hypothermia

  • 21. 
    Which of these is not a proper intervention against effects of immobility?
    • A. 

      Well balanced diet and adequate intake

    • B. 

      Reposition at least every two hours and early ambulation

    • C. 

      Use of antiembolism measures

    • D. 

      Reduction of activities and encouragement of sleep

    • E. 

      Maintain proper body alignment

  • 22. 
    A nurse is helping a 260 lb patient walk from bed to bathroom. The patient started to lose balance and complained that he was extremely dizzy. What would be the most  appropriate thing to do next? 
    • A. 

      Encourage the patient to walk faster towards a chair

    • B. 

      Tell patient to put arms around your shoulder and lean on you

    • C. 

      Lower patient to floor by letting patient slide down your leg

    • D. 

      Instruct patient to close his eyes and look down

    • E. 

      Bring patient as far away from your body as possible

  • 23. 
    Which of the following does not provide any support to any part of the body?
    • A. 

      Pillows and trochanter rolls

    • B. 

      Sandbag

    • C. 

      Bed board

    • D. 

      Side rails and trapeze bars

    • E. 

      Wedge pillows

  • 24. 
    What do you do when you monitor a patient for neurovascular functions? Select all that apply. 
    • A. 

      Do a CMS assessment

    • B. 

      Check skin color, temperature, movement and sensation

    • C. 

      Check for pulses, capillary refill and pain

    • D. 

      Monitor gastric motility

  • 25. 
    When there is compression from external devices such as casts and bulky dressings, what kind of risk is usually created which can result in extensive tissue damage?
    • A. 

      Chronic itchiness

    • B. 

      Impaired hygiene

    • C. 

      Compartment syndrome

    • D. 

      Immobility

    • E. 

      Lack of circulation

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