Patient Handling and Safety Exam Review
Course Introduction
Patient Handling and Safety is a course designed to equip students with the knowledge and skills necessary to safely assist and transfer patients within healthcare settings. The course covers the principles of biomechanics, body mechanics, and ergonomics to reduce the risk of injury to both patients and healthcare workers. Topics include proper use of mobility aids and lifting equipment, risk assessment, safe patient positioning, and techniques for managing patients with limited mobility. Emphasis is placed on legal and ethical considerations, infection control practices, and communication strategies to ensure the safety, comfort, and dignity of patients during all handling procedures.
Recommended Textbook Mobility in Context Principles of Patient Care Skills 1st Edition by Charity Johansson
Available Study Resources on Quizplus
14 Chapters
276 Verified Questions
276 Flashcards
Source URL: https://quizplus.com/study-set/3868 Page 2
Chapter 1: Establishing the Therapeutic Alliance
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/77104
Sample Questions
Q1) Which of the following statements is true about interactions with patients?
A) Our attitudes are expressed at a conscious level as well as an unconscious level.
B) Our past experiences have little to do with our present therapeutic relationships.
C) Our past experiences shape our attitudes toward our patients, but not our beliefs.
D) Unchallenged assumptions about our patients generally are favorable.
Answer: A
Q2) Health-care biases must be recognized to be changed. Which of the following actions would be most helpful in changing our beliefs?
A) Be aware of behaviors in others that might reflect bias.
B) Look for reinforcement of our beliefs within our peer group.
C) Reflect annually on our attitudes and beliefs about others.
D) Seek out commonalities with those we perceive as different.
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: The Mechanics of Movement
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77103
Sample Questions
Q1) If your patient has developed muscle atrophy while on a ventilator in the ICU, what is the most likely the cause?
A) The appropriate amount of load applied to the tissues
B) Too little load applied to the tissues
C) Too much load applied to the tissues
D) Repeated rapid load to the tissues
Answer: B
Q2) Torsion
A)Pulling that tries to stretch or lengthen tissue
B)The amount of force across a given area
C)The force applied to a given area
D)Twisting force about a structure's axis
E)Two opposite direction forces, parallel to contacting surfaces
Answer: B
Q3) Which of the following factors is key to preserving dynamic trunk stability?
A) A neutral pelvis
B) Decreased or reduced lumbar lordosis
C) Extension of the hips
D) Flexion of the spine
Answer: A
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Special Environments
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77102
Sample Questions
Q1) Which statement best reflects the current condition of individuals who are homeless in the United States?
A) Most persons who are homeless are unwilling to seek steady employment.
B) Persons sleeping in publicly supervised residences are considered homeless.
C) Persons who are homeless generally do not have children.
D) The average age of persons who are homeless is 65 yr.
Answer: B
Q2) Patients have varied home environments that include a variety of meaningful emotional and cultural attachments. It is important as clinicians to avoid ________________a person's choice of environment, whatever it might be.
Answer: judging
Q3) List four health conditions commonly experienced by persons who are homeless. Answer: Trauma, overexposure to the elements, sleep deprivation, dehydration, urinary incontinence, infectious disease, uncontrolled diabetes, arthritis, fractures, circulatory foot problems, malnutrition
Q4) List three factors that could result in homelessness.
Answer: Unemployment, poverty, domestic violence, chronic and severe health conditions, substance abuse, war, forces of nature
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Keeping It Clean: Maintaining Cleanliness in the Clinical Environment
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/77101
Sample Questions
Q1) You are treating a patient on the bone marrow transplant unit. Which of the following would you be most likely to encounter during the treatment of this patient?
A) The patient has two small plants in the room when you enter.
B) The patient is placed in a private room with negative air pressure.
C) When you arrive to see the patient, you find her in the dining room eating lunch.
D) When you arrive at the patient's room, you find her returning from the radiology department wearing a mask.
Q2) What is the main source of transmission of methicillin-resistant Staphylococcus aureus to patients in a hospital?
A) Family members and other hospital visitors
B) Hospital equipment and instruments
C) Hospital linens and bathroom surfaces
D) The hands of health-care workers
Q3) List two precautions that health-care facilities take to limit the spread of infection caused by visitors.
Q4) Infections that are acquired in a hospital are called ________________infections.
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Assessing Physiological Status: Vital Signs
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77100
Sample Questions
Q1) The openness of arterial vessels is called ____________________.
Q2) Which of the following is true regarding pain assessment in patient care?
A) Pain assessment is an objective measurement of the patient's experience.
B) Pain assessment is rarely useful in determining the underlying source of the pain.
C) Responses to pain are similar across all social and cultural groups.
D) Pain is always abnormal and can be a valuable indicator of a serious problem.
Q3) Which of the following actions is most likely to result in the inability to detect Korotkoff sounds accurately during blood pressure assessment?
A) The cuff is deflated fully prior to a second attempt.
B) The cuff is not inflated enough.
C) The cuff is over inflated.
D) The valve is opened too slowly.
Q4) Which of the following blood pressure values indicates that the patient's exercises should be stopped immediately?
A) A diastolic reading >115 mm Hg
B) A 5 mm Hg drop from baseline in the systolic pressure
C) A failure of the diastolic pressure to increase with increasing workload
D) A systolic reading >180 mm Hg
To view all questions and flashcards with answers, click on the resource link above.
Page 7
Chapter 6: Draping for Minimum Exposure and Maximum
Dignity
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77099
Sample Questions
Q1) The prone position poses some specific challenges with regard to draping. List two things you can do to minimize patient discomfort in this position.
Q2) You are a male therapist evaluating a new female patient who has hip pain. The patient seems very anxious and uncomfortable. Prior to initiating the evaluation, you ask if she would prefer a female therapist. She assures you that she is comfortable with you. As the examination progresses, you determine that you need to palpate the groin area. She seems uneasy but insists that she wants to proceed. What could you do to decrease her anxiety about the situation?
A) Allow her to stay out in the gym during the treatment so she is not alone with you
B) Dim the lights in the room
C) Bring in a female to be present during the assessment
D) Perform a quick palpation while looking away from the patient
Q3) What is the proper procedure for handling linens following their use in draping?
Q4) List three benefits of draping patients:
Q5) Explain the primary challenge of repositioning a patient during activities that entail draping. ____________________
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Positioning Your Patient for Mobility
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77098
Sample Questions
Q1) When considering the use of restraints, which of the following is true?
A) If the device is used to protect the patient, it is not considered a restraint.
B) Using a device that the patient is able to release reduces the level of restrictiveness of a restraint.
C) Restraints are generally identified by their shape or design.
D) The application of restraints is not regulated by Medicare.
Q2) List three bony prominences that are especially susceptible to pressure in the supine position.
Q3) Your patient is a 49-year-old man who sustained a spinal cord injury in a skiing accident. He is unable to move below the level of his umbilicus. You are positioning him in the bed following your treatment. Which of the following describes the most appropriate positioning for this patient?
A) On his back with a medium-sized pillow under his knees
B) On his back with a large pillow behind his shoulder blades
C) In a three-quarters supine position with pillows behind him and between his legs
D) On his stomach with a large pillow under his feet
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Transferring Dependent Patients
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/77097
Sample Questions
Q1) Which of the following is most strongly related to injuries sustained when assisting patients?
A) The age and weight of the person completing the transfer
B) The diagnosis of the patient being transferred
C) The number of repetitions of the task completed by the person
D) Unexpected changes in the patient's position during the transfer
Q2) List three things you must consider when positioning a sling for a dependent transfer.
Q3) When transferring a supine patient using a lateral transfer device, which of the following maneuvers should always be avoided?
A) Lifting a patient with the device
B) Performing the transfer by yourself
C) Transferring between slightly uneven surfaces
D) Transferring patients heavier than 300 lbs.
Q4) The use of friction-reducing devices to perform lateral patient transfers is recommended because it eliminates the risk of injury to the clinician performing the transfer.
A)True
B)False
Q5) Describe the Trendelenburg position.
Page 10
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Maintaining Capacity for Mobility Through Range of Motion
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77096
Sample Questions
Q1) To accurately assess capsular and ligamentous flexibility of two-joint muscles, it is necessary to lengthen the muscles simultaneously over both of the joints involved.
A)True
B)False
Q2) The development of hypertonia that results in atypical and dysfunctional movement is a contraindication to active range of motion.
A)True
B)False
Q3) Internal and external rotation at the hip is movement in the ___________plane.
A) axial
B) coronal
C) sagittal
D) transverse
Q4) Awareness of joint position is called
A) kinesthesia.
B) nociception.
C) proprioception.
D) synesthesia.
Q5) Define range of motion. Be complete in your answer.
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Bed Mobility
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77095
Sample Questions
Q1) Weight-bearing in modified plantigrade is shared by
A) Both feet
B) Both feet and both hands
C) Both knees and both hands
D) One knee and one foot
Q2) List four indications and two contraindications for the use of a tilt table.
Q3) When assisting a patient to sitting, one hand is placed over the humeral head of the shoulder that is against the bed. This hand placement is used because A) force applied at the humeral head allows for an effective line of force.
B) force applied downward will facilitate abduction of the shoulder.
C) the humeral head creates a short lever arm, making it easier for the therapist to assist.
D) using the humeral head will ensure that your patient does not pull on you.
Q4) When transitioning from supine to sitting through side lying, what is the advantage of moving both legs off the edge of the bed together?
A) It allows the patient to maintain a neutral spine.
B) It is easier to move the legs together than individually.
C) It shifts the load to the upper extremities.
D) The legs provide a counterweight to the upper body.
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: Horizontal Transfers
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77094
Sample Questions
Q1) You have just evaluated your patient, who is recovering from abdominal surgery, and you are preparing to assist the patient from the bed to the bedside chair using a squat-pivot transfer. Your assessment of the patient is that her lower-extremity strength is poor bilaterally. Which of the following positions would be the safest to assume for this transfer?
A) Behind the patient, with one hand on the gait belt and one on the anterior aspect of her shoulder
B) Beside the patient, with one hand on the gait belt and one on the anterior aspect of her shoulder.
C) In front of the patient, with both of her legs blocked by your legs
D) In front of the patient, with one of her knees blocked by your legs
Q2) Anteroposterior seated transfers allow patients to transfer directly between two surfaces. Which of the following patients might use such a transfer?
A) A patient with a bilateral transfemoral amputation
B) A patient who has sustained a cerebrovascular accident
C) A patient with spinal fusion
D) A patient with a total knee replacement
Q3) List two advantages of seated transfers over standing transfers.
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Vertical Transfers
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/77093
Sample Questions
Q1) Which of the following is the initial position for a turnaround technique to transfer from the floor to a wheelchair?
A) In long-sitting facing away from the chair
B) In quadruped position facing the chair
C) Side-sitting with the strong leg close to the chair
D) Sitting with knees bent facing away from the wheelchair
Q2) When is it most likely that a step stool will be required for transfers between chairs and plinths?
A) When the patient has a weight-bearing restriction
B) When the patient has weak quadriceps muscles
C) When the patient is 6 ft tall or taller
D) When the table surface is above the patient's gluteal folds
Q3) Your patient has recently undergone total right knee arthroplasty and is seated on a plinth with both feet resting on a stepstool. How should you instruct your patient to step down off the stepstool and onto the floor?
A) Step down first with the right foot.
B) Step down first with the left foot.
C) It does not matter which foot steps down first.
D) Step down with both feet simultaneously.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Seated Mobility: Sitting but Not Sitting
Still--Fitting and Propelling a Wheelchair
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77092
Sample Questions
Q1) Which of the following best describes an articulating legrest?
A) It is lighter than a standard elevating legrest.
B) It can be raised to a maximum of 70°.
C) The footplate extends a few inches as the legrest is elevated.
D) It stays the same length as the legrest is elevated.
Q2) You are instructing a patient about wheelchair propulsion in a nursing home setting. Assuming that the patient has adequate strength and range of motion, what instructions should you give the patient for the most efficient forward propulsion using both hands?
A) 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).
B) Place both arms behind you (at approximately the 10 o'clock position on the pushrims).
C) Push the pushrims forward with long strokes, releasing them at about the 4 o'clock position on the pushrims.
D) Push the pushrims forward with short, quick strokes.
Q3) List at least four factors that must be considered in wheelchair selection.
Q4) List three potential physical and physiological risks associated with independent wheelchair propulsion. ____________________
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Navigating the Challenges of Ambulating
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/77091
Sample Questions
Q1) Provides the greatest amount of stability for the patient in a standing position
A)Hemi-walker
B)Loftstrand or Canadian
C)Parallel bars
Q2) Another way to describe forearm crutches.
A)Hemi-walker
B)Loftstrand or Canadian
C)Parallel bars
Q3) You have just completed an evaluation of a patient in your outpatient clinic. This patient needs gait training after sustaining a stroke. Which of the following tasks would be considered "gait training" instead of "ambulating" with the patient?
A) Completing a 5-min walk with the patient
B) Facilitating advancement of the patient's hemiparetic leg during treadmill training
C) Guarding the patient during treadmill walking for endurance
D) Transporting portable oxygen for the patient during walking
Q4) To stabilize a patient who is in the process of a(n) ________________fall, the clinician attempts to bring the patient's CoM back over his or her BoS.
To view all questions and flashcards with answers, click on the resource link above.
16