Therapeutic Mobility and Handling Techniques
Final Exam
Course Introduction
Therapeutic Mobility and Handling Techniques explores the foundational principles and practical applications necessary for safely assisting individuals with mobility challenges. The course covers body mechanics, patient assessment, and the use of assistive devices, as well as manual techniques for transfers, positioning, and movement facilitation. Emphasis is placed on promoting patient independence, preventing injury, and integrating evidence-based practices for diverse clinical settings. Through lectures, demonstrations, and hands-on practice, students develop critical skills to support mobility, enhance functional outcomes, and uphold the highest standards of safety and dignity in patient care.
Recommended Textbook
Mobility in Context Principles of Patient Care Skills 1st Edition by Charity Johansson
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14 Chapters
276 Verified Questions
276 Flashcards
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Chapter 1: Establishing the Therapeutic Alliance
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19 Verified Questions
19 Flashcards
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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) Which of the following factors is most likely to motivate patients to engage in ongoing healthful behaviors?
A) Awareness that significant change is needed
B) Freedom from demands of work and home
C) Knowing the benefits of healthful behaviors
D) A high sense of self-esteem
Answer: D
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3
Chapter 2: The Mechanics of Movement
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following force-couple applications is less than optimal for patients to use when preparing to transition from sitting to standing?
A) Leaning forward and pulling up with both arms supported on the walker
B) Leaning forward and using the hip and thigh muscles to achieve liftoff
C) Pushing the upper trunk into the back of the chair while sliding the pelvis forward
D) Shifting from side to side to walk the hips forward to the front of the chair
Answer: C
Q2) Which of the following is an example of an internal force commonly used when assisting patients with movement?
A) Ankle weights
B) Friction
C) Gravity
D) Muscular tension
Answer: D
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4
Chapter 3: Special Environments
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15 Verified Questions
15 Flashcards
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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) List two things you should watch for when you are working with patients in special environments such as the ICU.
Answer: Skin color, alertness and responsiveness, nonverbal signs of pain or discomfort, physiological changes
Q3) Stresses to patients in critical care units can be severe enough to result in negative psychological consequences. A state of confusion that develops in response to these stresses is known as ____________________.
Answer: ICU delirium
ICU syndrome
ICU psychosis
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Chapter 4: Keeping It Clean: Maintaining Cleanliness in the Clinical Environment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) ________________are infections acquired in any health-care setting.
Q2) Which of the following is an element of the infection process?
A) A means to leave the host
B) A mode of transmission
C) A moist environment
D) A source of nutrition
Q3) You have just completed a treatment in a patient's room, during which you wore gloves. What should you do at the conclusion of the treatment?
A) Leave the patient's room with the gloves on and go to the nearest sink to remove the gloves and wash your hands.
B) Remove the gloves in the patient's room and go directly to the closest sink outside the room to wash your hands.
C) Remove the gloves by pulling one off with a gloved hand and then gently pulling off the other glove by the fingertips.
D) Remove the gloves by pulling one off with a gloved hand, and then slide the fingers of the exposed hand inside the other glove to remove it.
Q4) Infections that are acquired in a hospital are called ________________infections.
Page 6
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Chapter 5: Assessing Physiological Status: Vital Signs
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The openness of arterial vessels is called ____________________.
Q2) Which of the following assessment sites typically yields a temperature reading closest to a patient's core temperature?
A) Axilla
B) Ear
C) Mouth
D) Rectum
Q3) Which of the following is true of the use of automated blood pressure monitors?
A) Cuff placement is more critical with the use of automated units than for auscultated measurement.
B) Finger units are the most accurate method of automated home blood pressure monitoring.
C) The arm should be placed in the same position as it is during auscultated measurement.
D) Automated monitors are generally less sensitive to changes in body movements.
Q4) List four factors that can affect a person's heart rate. ____________________
Q5) When the ventricles of the heart contract, the contraction pushes blood into the aorta. This is called ____________________. When the ventricles relax, returning blood refills the heart chambers. This is called ____________________.
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Chapter 6: Draping for Minimum Exposure and Maximum
Dignity
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is most commonly experienced by a patient whose examination or intervention requires the removal of clothing?
A) Anger
B) Sadness
C) Fear
D) Vulnerability
Q2) The prone position poses some specific challenges with regard to draping. List two things you can do to minimize patient discomfort in this position.
Q3) Your new patient in an orthopedic outpatient clinic has a known history of physical and emotional abuse. Which of the following might you do during your initial evaluation?
A) Greet the patient with a quiet voice and a hand on the patient's shoulder.
B) Keep a distance of at least 4 ft between you and the patient at all times.
C) Make sure that you wear gloves so that your hands do not contact the patient.
D) Watch the patient closely during the evaluation for any signs of discomfort or distress.
Q4) Explain the primary challenge of repositioning a patient during activities that entail draping. ____________________
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Chapter 7: Positioning Your Patient for Mobility
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Your patient is a 14-year-old girl who was in a motor vehicle accident and is now comatose in the ICU. You are working with the patient's family regarding appropriate positioning for this patient. Which of the following would be most appropriate to tell them?
A) Her inability to move independently makes her more vulnerable to skin breakdown.
B) The patient needs to be repositioned every 3 hours when she is lying in bed.
C) The patient should not remain sitting with the head of the bed elevated over 45° for more than 3 hours.
D) The patient should have a pillow under her heels while she is in supine.
Q2) Which of the following is true regarding contractures?
A) Contractures generally do not affect the strength of the muscle.
B) Contractures may result in permanent loss of joint motion that does not respond to stretching.
C) Contractures generally tend to occur in positions of extension.
D) Contractures are limited to responses within muscle tissue.
Q3) List three basic principles that apply to both short-term and long-term positioning.
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Page 9
Chapter 8: Transferring Dependent Patients
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following patient situations is the best indication for a zero-lift transfer?
A) The patient requires a level 3 transfer that does not involve a teaching component.
B) The patient requires level 0 transfer assistance and has lower-extremity weight-bearing restrictions.
C) The patient requires level 1 transfer assistance because of occasional loss of balance.
D) The patient requires level 1 transfer assistance and weighs more than 250 lbs.
Q2) Which of the following maneuvers is considered to be the most physically stressful to the caregiver?
A) Transferring a patient from bathtub to chair
B) Transferring a patient from bed to chair
C) Transferring a patient from chair to bed
D) Transferring a patient from chair to toilet
Q3) List three things you must consider when positioning a sling for a dependent transfer.
Q4) Describe the Trendelenburg position.
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Chapter 9: Maintaining Capacity for Mobility Through Range of Motion
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20 Flashcards
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Sample Questions
Q1) Maintaining maximum joint motion has long been considered a critical element of recovery. List at least four effects of passive range of motion exercises.
Q2) Awareness of joint position is called A) kinesthesia.
B) nociception.
C) proprioception.
D) synesthesia.
Q3) Ballistic stretching
A) involves a bouncing motion at the end of the range.
B) is most effective with sedentary individuals.
C) is more effective than static stretching.
D) results in long-term range of motion gains.
Q4) Internal and external rotation at the hip is movement in the ___________plane. A) axial B) coronal
C) sagittal
D) transverse
Q5) When is progression from passive range of motion therapy to active assistive range of motion indicated in the management of patients?
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Chapter 10: Bed Mobility
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) List four indications and two contraindications for the use of a tilt table.
Q2) When patients demonstrate generalized weakness, which of the following characteristics is commonly observed during their attempts at functional mobility?
A) They use extension to replace flexion.
B) They use flexion to replace extension.
C) They use rotational movements to replace extension.
D) They use rotational movements to replace flexion.
Q3) List the three movement restrictions for mobility skills after total hip arthroplasty (posterior approach).
Q4) Which position is typical for guarding an unstable patient during bed mobility tasks in sitting?
A) Behind the patient
B) In front of the patient
C) To the left side of the patient
D) To the right side of the patient
Q5) List the rationales for instructing your patient with hemiplegia to move from supine to sitting on each side of the bed.
Q6) What are at least three of the benefits of spending time in a seated position?
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Chapter 11: Horizontal Transfers
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What are the three ways to move a patient's hips forward in a chair in preparation for a transfer?
Q2) Which of the following statements regarding seated transfer board use is true?
A) The transfer board is smooth and will not cause friction on the patient's skin.
B) The transfer board is used for dependent transfers only.
C) The transfer board is used primarily to slide the patient across to the support surface.
D) The transfer board can be used between surfaces of slightly different height.
Q3) In both squat-pivot and standing-pivot transfers, which of the following is the first task that must be accomplished?
A) Shifting the patient's weight over the hip opposite the transfer direction
B) Shifting the patient's CoM forward over the pivot point
C) Positioning the patient's BoS anterior to the CoM
D) Positioning the patient's feet posteriorly
Q4) When positioning the feet for a pivot transfer, the inner foot is positioned
A) in close contact with the outer foot to create an increased base of support.
B) separated from, but in line with, the outer foot for maximum stability.
C) slightly back to allow maximum liftoff.
D) slightly forward to prevent obstruction.
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Chapter 12: Vertical Transfers
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) When assisting your patient during a high transfer such as from chair to plinth, which of the following represent the best contact points for guarding the patient?
A) At the pelvic girdle and thighs
B) At the pelvic girdle and trunk
C) At the shoulder and pelvic girdles
D) At the shoulder and thighs
Q2) What accommodation is made to ensure safety as patients are learning to perform transfers between chair and floor?
A) A cushioned surface is used to make the maneuver more comfortable.
B) A minimum of two persons are present to assist in the transfer.
C) A transfer device (such as a lift) is used during the initial practice.
D) The patient is provided pads for the hips to cushion any impact.
Q3) Transfers between chair and plinth are a variation of the squat-pivot transfer.
A)True
B)False
Q4) There are multiple acceptable ways to accomplish a floor-to-chair transfer.
A)True
B)False
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Page 14
Chapter 13: Seated Mobility: Sitting but Not Sitting
Still--Fitting and Propelling a Wheelchair
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Why is a wheelchair considered a mobility orthosis?
Q2) Use of a sling seat in a wheelchair tends to result in all of the following except A) a forward head posture.
B) decreased thoracic kyphosis.
C) bilateral hip adduction and internal rotation.
D) increased stress on the structure of the trunk.
Q3) The most common method of transporting a patient in a wheelchair up and down steps is to ascend the steps backward.
A)True
B)False
Q4) 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.
Q5) List three potential physical and physiological risks associated with independent wheelchair propulsion. ____________________
Page 15
Q6) What is meant by "90-90-90"? ____________________.
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Chapter 14: Navigating the Challenges of Ambulating
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which of the following statements regarding adjustment of assistive gait devices is true?
A) Upper-extremity effort is minimized when the device the fitted so that the elbow is flexed to approximately 45°.
B) Optimal elbow angles vary from device to device.
C) The hand grip of the device should come to the level of the pelvic crest.
D) Crutches and canes should be adjusted so that they fit when the patient is standing with the tips of the devices placed about 4 to 6 in. forward and 2 in. to the side.
Q2) Which of the following is true of balance?
A) It is mediated exclusively by the vestibular system.
B) It is primarily a concept related to dynamic mobility.
C) It is the ability to maintain the BoS within the CoM.
D) It is the ability to maintain the CoM within the BoS.
Q3) How much knee flexion range of motion is typically needed to descend steps?
A) From 7° to 65°
B) From 10° to 92°
C) From 20° to 87°
D) From 25° to 95°
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