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CNA 2016 C 14*
Body Mechanics and Safe resident handling, positioning, and transfers
| Question | Answer |
|---|---|
| The base of support is | the area on which an object rests |
| Body alignment is | the way the head, trunk, arms, and legs are aligned with one another |
| Using the body in an efficient and careful way is | body mechanics |
| The science of designing the job to fit the worker is | ergonomics |
| The back-lying position is _______________position. | supine |
| A resident has the head of her bed elevated 60 degrees. This position is _________position. | Fowler's |
| The side-lying position is _______________position. | lateral |
| A resident is lying on her left side. Her upper leg is sharply flexed. Her lower arm is behind her. This position is _______________position. | Sims |
| The dorsal recumbent position also is called _______________position. | supine |
| Good body mechanics involve | good posture and balance |
| You need a wide base of support for | balance |
| When you need to lift a heavy object, bend | your knees and squat |
| When giving bedside care, the bed should be | raised so it is close to your waist |
| You can push, pull, slide, or lift an object. Which movement is easiest? | pushing |
| To use good body mechanics, you should face | the direction of your work |
| The amount of physical effort needed to perform a task is | force |
| Risk factors for work-related musculo-skeletal disorders (WMSDs): | awkward positions |
| What are often affected in WMSDs. | arms and back |
| __________are causes of back disorders | bending and twisting while lifting |
| According to OSHA, which of the what activities are related to back injuries? | bending to bathe a person or to change linens |
| After making a bed, you feel pain in your lower back. When should you report this? | as soon as possible |
| To protect yourself from injury, it is best to | avoid lifting whenever possible |
| What actions are correct when you are positioning a person in bed? | use pillows as directed for support and alignment |
| Frequent position changes help prevent | pressure ulcers and contractures |
| When a resident is in bed, the person is re-positioned at least every | 2 hours |
| Before re-positioning a person, you need what information from the nurse and the care plan? | what skin measures and exercises to perform, what positioning devices to use |
| A resident has slid down in the wheelchair. The person cannot assist with re-positioning. To safely re-position the person a _______________ is used. | friction reducing device |
| The nurse asks you to position a resident in the lateral position. This position is the | side lying position |
| A person in the prone position lies on his or her | abdomen |
| _______________is a semi-sitting position. | Fowler's |
| Which position requires one to lie face down, and therefore may be difficult to tolerate by older persons? | prone |
| _______________position is more comfortable for most older persons. | fowler's |
| To sit in a chair, a person must be able to | hold the upper body and head erect |
| A resident is positioned in a chair. What will provide good alignment? | the person's feet are flat on the floor |
| A resident needs a postural support when sitting in a chair. The postural support | keeps the person in good alignment |
| Moving the person from one place to another is | transfer |
| What is it called when two surfaces rub together? | friction |
| A resident is turned as a unit, in alignment, with one motion. This is | logrolling |
| A resident has slid down in bed. Her skin sticks to the bed while her muscles move down. This is | shearing |
| When you have to turn, re-position, or transfer a person, you must use | your body correctly |
| Older persons have fragile bones and joints. To prevent injury when moving these persons, move the person carefully. True False | True |
| Friction and shearing can lead to | infection and pressure ulcers |
| You can reduce friction and shearing by | rolling the person |
| To prevent work-related injuries, OSHA recommends that | manual lifting be eliminated whenever possible |
| For safe resident handling, moving, and transfers, the nurse and health team determine which equipment to use. | True |
| You need to move a resident up in bed. To prevent a work-related injury, you | raise the bed for body mechanics |
| Before moving a person up in bed, you need to_______________ the bed wheels. | lock the bed wheels |
| Before moving, positioning, or transferring a person, you need to explain | what you are going to do |
| Some underpads are used as assist devices. For a safe lift, the underpad must | be strong enough to support the person's weight |
| A resident is recovering from spinal surgery. You need to move the person to the side of the bed. What procedure is the best to use? | using an assist device |
| When moving a person in segments, you first move the | upper part of the body |
| A resident is recovering from spinal surgery. You need to re-position the person onto her right side. Which procedure is preferred? | logrolling |
| A resident is 90 years old and has arthritis. You need to move the resident to the side of the bed. Which method is best? | moving the person in segments |
| How many workers are needed to logroll a person safely? | 2 or 3 |
| When a person is logrolled, the person is | moved with the spine straight |
| To dangle means to | sit on the side of the bed |
| The nurse asks you to dangle a resident. Before you do so, you need to know: | how to use good body mechanics |
| Problems with sitting and balance often occur after illness, injury, surgery, and bedrest. | True |
| You assist a resident to dangle. When the person complains of dizziness, you should | help the person lie down |
| The nurse asks you to transfer a resident to a wheelchair. Before transferring the person, you need to know | what the resident's areas of weakness |
| For a bed to wheelchair transfer, the person needs to wear | non-skid footwear |
| To prevent falls during transfers, the wheelchair, bed, shower chair, and stretcher wheels must | be locked |
| A resident has weakness on her left side. You are transferring her from the bed to the wheelchair. Where should you position the wheelchair? | next to the bed on her right skide |
| When are stand and pivot transfers used? | as directed by the care plan |
| When transferring a person, first move the person’s____ side. | strong |
| A transfer belt is not needed to transfer a resident from the bed to a chair. For the transfer, how should you hold onto the person? | place your hands under the person's arms and around shoulder blades |
| You are going to transfer a resident from the wheelchair back to bed. Where should you position the wheelchair? | on the person's strong side |
| A mechanical lift is used to transfer a resident to the wheelchair. What must you do before using the lift? | read the manufacturer's instructions |
| Which type of lift sling is used for a person with extra large thighs? | an extended length sling |
| How many workers are needed to safely transfer a person using a mechanical lift? | at least 2 |
| The nursing center has a new mechanical lift. You need to be | trained in its use |
| You are going to transfer a resident from the wheelchair to the toilet. The person uses __________________ for support. | grab bars by toilet |
| After transferring a person to the toilet, you should | close the bathroom door and stay in the persons room near the bathroom |
| After the resident finishes eliminating, before transferring back to the wheelchair, you need to | assist with wiping, perineal care, flushing, and hand washing |
| Stretchers are used to transfer who | are seriously ill |
| How many workers are needed for safe stretcher transfers? | 2-3 |
| When are the safety straps applied during a stretcher transfer? | after the person is transferred to the stretcher |
| When can you leave a person on a stretcher unattended? | never |
| What is used to transfer a person from the bed to a stretcher? | an assist device |
| A resident has slid down in the wheelchair. The person can follow directions and assist with re-positioning. What is safe? | you apply a transfer belt |
| A resident has slid down in the wheelchair. The person cannot assist with re-positioning. To safely re-position the person | a mechanical lift is used |