Chapter 32 Flashcards
Which of the following best describes normal daily self-care such as brushing teeth, getting dressed, and eating?
a. Activities of daily living b. Occupational therapies c. Rehabilitation medicine d. Normal range of motion
a. Activities of daily living
Which of the following is an essential part of good posture?
a. Feet slightly averted b. Weight even on legs with knees straight c. Pelvis straight d. Shoulders level e. Chin and chest up
e. Chin and chest up
Which of the following is NOT a concern for safety when assisting patients to ambulate?
a. Use a gait belt. b. Patient should be wearing supportive, flat, rubber-soled shoes. c. Ambulate for a minimum of 30 minutes. d. Make sure the patient is ready to walk. e. Never hurry a patient.
c. Ambulate for a minimum of 30 minutes.
Which of the following is the major advantage of using crutches over other assistive devices?
a. Used equally by persons of any age b. Provides more mobility and flexibility c. Frequently requested by patients d. Requires less coordination e. Adaptable to stairs or level areas
b. Provides more mobility and flexibility
Which of the following best describes when the forearm or Canadian crutches are generally used?
a. When adaptability to stairs is needed b. For patients who need them long term c. When patients request them d. For patients who require less coordination e. For patients who have limited strength
b. For patients who need them long term
For what type of patient is the platform crutch used?
a. Has excessive arm strength b. Cannot bear weight on hands c. Adaptability to stairs is not needed d. Patients who request them e. Needs them short term
b. Cannot bear weight on hands
When measuring for axillary crutches, what is the elbow angle and the distance from of the top of the crutch to the armpit?
a. 30 degrees and 3 inches below armpit b. 20 degrees and 2 inches below armpit c. 20 degrees and 1 inch below armpit d. 15 degrees and 2 inches below armpit
b. 20 degrees and 2 inches below armpit
When instructing patients in the use of axillary crutches, which of the following is most important?
a. Wear platform, nonskid shoes. b. Use the armpits for half the weight. c. Put all weight on hands. d. Know all the crutch gaits.
c. Put all weight on hands.
Which of the following is an appropriate step when transferring a patient from the wheelchair to the examination table?
a. Place the patient’s feet flat on the floor. b. Place the gait belt snugly around the assistant’s waist. c. All the above. d. Place the wheelchair next to the examination table. e. Have the patient sit on the edge of the wheelchair.
c. All the above.
Which of the following gaits is used when both crutches and the weak leg are advanced at the same time?
a. Two-point b. Swing-to c. Swing through d. Three-point e. Four-point
d. Three-point
Which of the following patients would be prescribed a wheelchair?
a. Cannot ambulate b. Has any disability c. Is partially paralyzed d. Has limited motion
a. Cannot ambulate
Which of the following refers to moving a body part outward?
a. Circumduction b. Inversion c. Eversion d. Abduction
c. Eversion
Which of the following refers to straightening a body part?
a. Adduction b. Extension c. Supination d. Dorsiflexion
b. Extension
The instrument used to measure joint motion is called?
a. Goniometry b. Goniometer c. Jointmeter d. ROM
b. Goniometer
Which of the following best defines the use of activities to help restore independent functioning after an injury or illness?
a. Physical therapy b. Physiotherapy c. Occupational therapy d. Sports medicine
c. Occupational therapy
Which of the following is most appropriate when transferring a patient?
a. Tell the patient not to try to help you. b. Lift the patient by the arms or armpits. c. Use a gait belt around the patient’s waist always. d. Have the patient put her arms around your neck or on your shoulders.
c. Use a gait belt around the patient’s waist always.
Which type of assistive device provides maximum assistance with balance and coordination, as well as stability and support, when the patient is standing or walking?
a. Walkers b. Quad canes c. Crutches d. Canes
a. Walkers
Which of the following is NOT the most appropriate when using a cane?
a. Place the cane handle at the level of the patient’s hip joint. b. Patient should flex elbow 20 to 30 degrees. c. Have the patient move the strong leg forward while transferring the weight to the cane. d. Place the cane to the side of the foot of the strong leg.
c. Have the patient move the strong leg forward while transferring the weight to the cane.
Which of the following is the most appropriate action when a patient uses a wheelchair?
a. Make sure the brakes are locked when transferring the patient. b. Let the patient’s feet dangle. c. Always go forward into and out of elevators. d. Stay to the center of corridors.
a. Make sure the brakes are locked when transferring the patient.
Which of the following should be remembered when performing range-of-motion exercises on a patient?
a. Position the patient in the supine position. b. Do each movement only one time. c. Support the limb at the joint. d. Have the patient go past the point of pain. e. Use quick movements
a. Position the patient in the supine position.
Which of the following is true when starting any heat or cold modality treatments?
a. Both a and d are true. b. Patients should lie on heating pads to be most effective. c. Cover device with a cloth before applying. d. Both a and b are true. e. Infants and the elderly are particularly susceptible to burns
e. Infants and the elderly are particularly susceptible to burns
c. Cover device with a cloth before applying.
If you are soaking or immersing patients in water, the water temperature must NOT be greater than which of the following?
a. 110°F b. 75°F c. 50°F d. None of the above e. 111°F
a. 110°F
Which of the following is NOT true regarding ultrasound?
a. It is effective for acute or chronic pain and injuries. b. It relaxes muscle spasms. c. It travels best through bone. d. It must be used carefully. e. It is high-frequency acoustic vibration.
c. It travels best through bone.
Mrs. Lane, age 70, has had an evaluation and treatment with Dr. Care. After finishing the treatment, the physician asks you to help the patient because she is having knee pain. She was given an injection in the knee. A Velcro® knee support was ordered and applied, and she will be given an assistive device. As Mrs. Lane sits up and you stand in front of her, she quickly slides off the table onto one leg and starts to fall forward. Mrs. Lane is assisted back onto the table, and you explain that she needs to stay there until she gets the knee appliance and assistive device. Mrs. Lane is instructed to return next week and be reevaluated.
As Mrs. Lane falls forward, what should be your most appropriate action?
a. Move your foot forward to stop the fall. b. Call for help. c. Widen your stance and guide her to the floor. d. Grab her around the waist and step forward. e. Grab her by her clothing.
c. Widen your stance and guide her to the floor.