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CNA Chapter 18
| Question | Answer |
|---|---|
| Bed Mobility | How a person moves to and from a lying position, turns,from side to side, and re-positions in a bed or other furniture |
| friction | the rubbing of 1 surface against another |
| Functional Status | The person's ability to preform the activities of ADL required to meet basic needs and required for health and well- being |
| logrolling | Turning the person as a unit, in alignment, with 1 motion |
| shearing | When skin stick to a surface while muscles slide in the direction the body is moving |
| weight bearing | to put weight on one's leg |
| ID | idenfication |
| Devise to safely move someone | Slide sheet, trapeze with two people to assist, flat sheet folded in half,turning sheet, large reusable water proof under pad, |
| Always promote | Comfort, safety |
| Always follow the | Pre-procedure, procedure, post-procedure |
| Draw sheets and slide sheets are used to | reduce friction |
| To protect the person's skin when moving in bed | roll the person |
| A person is unable to turn and re-position without help. The person's functional status is | total dependence |
| When moving persons in bed | |
| To raise the person's head and shoulders | ask for help if the person is older |
| As an assist device, a drawsheet is placed so that it | is under the head to the above the knees |
| Mr. Lee needs to be moved up in bed. He is partially able to assist. You should | ask for help and get a friction-reducing device |
| Before turning a person onto his or her side, you | move the person to the side of the bed |
| A patient with a spinal cord injury is turned with | the logrolling procedure |
| To assist with dangling, you need to know | which side is stronger |
| To protect the person's rights during dangling | close the privacy curtain |
| A person is able to help move. To re-position the person in a wheelchair | position the person's feet flat on the floor |
| Why are beds raised to move persons in bed? | this reduces bending and reaching |
| You must perform tasks safely. The ____ and ____ tell you how many staff members are needed to complete a task. | nurse and care plan |
| Moving the person up in bed is best done with at least two staff members. Perform this procedure alone only if: | a. person is small in size b. person can follow directions c. person can assist with much of the moving d. person uses a trapeze e. person can push against the mattress with his/her feet f. nurse says it is safe to do so g. you are comfortable doing |
| List three methods used to move persons to the side of the bed. | a. moving the person in segments b. using a mechanical lift c. the assist device method |
| A mechanical lift or the assist device method is used to move the following persons in bed: | a. older persons b. persons with arthritis c. person recovering from spinal cord injuries or spinal surgery |
| The nurse asks you to dangle a resident. Before you begin, what information do you need from the nurse and the care plan? | Person's functional status Amount of help the person needs If you need a co-worker to help you If the bed is raised or in a low position that is safe and comfortable for the person How long ther person needs to sit on the side of the bed |
| The nurse asks you to dangle a resident. Before you begin, what information do you need from the nurse and the care plan? Pt.2 | What exercises are to be done while dangling If the person will walk or transfer to a chair after dangling What observations to report and record When to report observations What patient or resident concerns to report at once |
| To prevent injuries when moving older persons A. Move the person without help B. Grab the person under the arms C. Allow the person to move himself or herself D. Move the person carefully to prevent injury or pain | D |
| When moving a person up in bed, preventing hitting the headboard with the head by A. Keeping the person in good body alignment B. Placing the pillow upright against the headboard C. Placing your hand on the person's head D. Asking the person to bend h | B |
| When moving residents it is best if you move the person A. By yourself B. With at least 2 staff members C. Using a mechanical lift D. Only with staff members that you like | B |
| To prevent work-related injuries, OSHA recommends that A. Manual lifting be minimized or eliminated when possible B. Manual lifting be used at all times C. Never lift any person or object alone D. Always use mechanical lifts for any lifting | A |
| Which of these would not be correct when you are using manual lifting? A. Try to keep what you are moving close to you B. Stand with your feet close together C. Lift on the "count of 3" when working with others D. Move the person toward you, not away | B |
| To make lateral transfers safe for the staff members A. Make sure bed rails are up B. Never use drawsheets, turning pads, or other devices to assist in the move C. Adjust surfaces so they are at about waist height D. Reach across the bed or stretcher | c |
| When the person can bear some weight, can sit up with help, and may be able to pivot to transfer, you know that the person's level of dependence is A. Code 5 B. Code 3 C. Code 2 D. Code 1 | b |
| Why are beds raised to move persons in bed? A. It prevents the person from falling out of bed B. It reduces friction and shearing C. It prevents pulling on drainage tubes D. It reduces bending and reaching for staff members | d |
| If a person with dementia resists being moved, you should A. Move the person by yourself B. Proceed slowly and use a clam, pleasant voice C. Let the person alone and do not reposition him D. Tell the person firmly that he must cooperate to be moved | b |
| When you are delegated to move a person in bed, you need to know all of these except A. What equipment is needed B. Whether the person is awake C. Hoe many workers are need to safely move the person D. Any limit in the person's ability to move or be r | b |
| In order to correctly raise the head and shoulders A. Both of your hands are placed under the person's back B. The person puts his near arm under your near arm and behind your shoudler C. Use a lift sheet to raise the person up D. Your free arm rests | b |
| You may move a person up in the bed alone if the A. Person can assist using a trapeze B. Rest of the staff is busy and cannot help C. Nurse tells you to use a lift sheet or slide sheet D. Nurse tells you have to move the person alone | a |
| What is the position of the bed when you are moving a person up in bed? A. Fowler's B. Flat C. As flat as possible for the person's condition D. Semi-Fowler's | c |
| The person is moved A. On the "count of 3" B. On the "count of 2" C. When the person says he is ready D. As soon as the workers are all in position | a |
| An assist device such as a lift sheet is used for A. A person who weighs less than 200 pounds B. A person who weighs less than 200 pounds C. A person with a dependence level of Code 4: Total dependence D. All of the above | d |
| Where is the lift sheet positioned? A. Under the head and shoulders B. Under the buttocks C. From the head to above the knees or lower D. From the hips to below the knees | c |
| When using a lift sheet as an assist device, the workers should A. Roll the sheet up close to the person B. Grasp the sheet at the edges C. Move one side of the sheet at a time D. Grasp the sheet only at the top edge | a |
| A person is moved to the side of the bed before turning because A. Otherwise, after turning, the person lies on the side of the bed B. It makes it easier to turn the person C. It prevents injury to the person D. It prevents friction and shearing | a |
| When you move a person in segments, which of these is incorrect A. First place your arms under the person's neck and shoulders and grasp the far shoulder B. First move the hips and legs C. Move the center part of the body by placing one arm under the w | b |
| When using a drawsheet to move a person to the side of the bed, support the person's A. Back B. Knees C. Head D. Hips | c |
| After the person is turned, A.Give the person good personal care B. Position him or her in good body alignment C. Elevate the head of the bed D. Elevate the bed ti its highest position | b |
| When delegated to turn a person, you need all of this information from the nurse and care plan except A. How much help the person needs B. Which procedure to use C. Whether the doctor had ordered turning D. What supportive devices are needed for posit | c |
| When you have completed turning a person in bed, he or she should A. Have the back against the bed rail B. Have his or her face near the bed rail C Be positioned in good body alignment D. Lay flat on the mattress without any supportive pillows | c |
| When a person is turned, musculoskeletal injuries, skin breakdown, and pressure ulcers could occur if a person is not in A. A special bed B. Good body alignment C. Good body mechanics D. The middle of the bed | b |
| How do you decide whether to turn the person toward you or away from you? A. Check the doctor's order B. It depends on the person's condition and the situation C. Use the method you like best D. Ask the person which way is best | b |
| Why do you need 2 or 3 staff members to logroll a person? A. A person who is being logrolled is usually in pain B. It is important to keep the spine straight and in alignment C. The person is probably a Code 4 level of dependence and needs extra help | b |
| When preparing to logroll a person, place a pillow A. At the head of the bed B.Between the knees C. Under the head D. Under the shoulders | b |
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