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How will you be able to tell if this patient has pain or discomfort during range-of-motion exercises?
- A. Verbal complaints of pain
- B. Facial grimacing or wincing
- C. Increased heart rate or blood pressure
- D. Refusal to continue exercises
Correct Answer: B
Rationale: Nonverbal cues like grimacing indicate pain in a patient with impaired speech.
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You are concerned about the psychological effects of immobility on the patient you are caring for during your clinical experience. To help prevent psychological complications, you would avoid which of these interventions?
- A. Encourage the patient to stay awake during the day and allow natural light into the room.
- B. Encourage the patient to read, watch TV, solve puzzles, and interact with family and friends.
- C. Encourage the patient to do as much as possible during his personal care.
- D. Encourage the patient to look on the bright side and be glad that he is alive, even though he is paralyzed.
Correct Answer: D
Rationale: Minimizing the patient's condition can dismiss their feelings, potentially worsening psychological health.
How can you be certain that the wheels of a stretcher are locked before transferring a patient?
- A. Press the foot lock and announce loudly that the wheels are locked.
- B. Physically attempt to move the stretcher, even if you have locked the wheels.
- C. Bend down on one knee to ensure that the red lever is up and the green one is down.
- D. Assign one person to hold the stretcher in place while the patient is transferred.
Correct Answer: B
Rationale: Physically attempting to move the stretcher confirms that the wheels are locked, ensuring safety during patient transfer.
How will you provide stability as you assist a patient to stand before you begin ambulation?
- A. Place a gait belt around the patient's shoulders.
- B. Place your feet in front of the patient's feet and your knees against the patient's knees.
- C. Have the patient use a walker to stand but not while he or she ambulates.
- D. Place a rolled blanket in front of the patient's feet to prevent slipping.
Correct Answer: B
Rationale: Positioning feet and knees against the patient's provides stability and prevents falls during standing.
You and an unlicensed assistive personnel (UAP) are preparing to turn an immobile patient from her back to her right side. Which of the following actions will you take first?
- A. Place a pillow between her knees and ankles.
- B. Cross the patient's left leg over her right leg.
- C. Move the patient to the left side of the bed.
- D. Externally rotate the patient's right shoulder.
Correct Answer: C
Rationale: Moving the patient to the left side of the bed first provides space for safe turning to the right side.
Why is it important to explain what you will be doing when you assist a patient with position changes?
- A. The patient may be sedated or have an impaired level of consciousness.
- B. The patient may have a preference about who performs repositioning.
- C. The patient will be more cooperative with the position change.
- D. The patient will be less likely to resist during the position change.
- E. The patient can more easily assist with the position change.
Correct Answer: C,D,E
Rationale: Explaining procedures promotes cooperation, reduces resistance, and enables patient assistance, enhancing safety and comfort.