Deck 10: Bed Mobility

Question 1

During assisted bed mobility activities, the pelvic and shoulder girdles are considered

A) Centers of mass
B) Points of control
C) Prime movers
D) Stabilizing points

Answer 1

B

Question 2

What are at least three of the benefits of spending time in a seated position?

Answer 2

Relieves bed-induced pressure on the upper body, assists with clearing of the lungs, stimulates cardiac function, facilitates normal swallowing, allows sensory input, improves social interaction

Question 3

Hemiplegia (weakness on one side of the body) is common after a cerebrovascular accident (stroke). As a result, which of the following moves is likely to be especially difficult for the patient after a stroke?

A) Rolling to the stronger side
B) Rolling to the weaker side
C) Scooting up in bed
D) Sitting up from side lying on the weaker side

Answer 3

A

Question 4

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.

Question 5

Your patient is a 79-year-old woman who fell on the ice and fractured her hip. She underwent a surgical procedure to repair the fracture and is now non-weight-bearing on the right leg. Which technique would you most likely use to assist her in scooting up in the bed?

A) Ask her to bend her left leg only and bridge, using her arms to assist.
B) Ask her to bridge and use her arms to help move herself up in bed.
C) Ask her to use the overhead trapeze and pull herself up.
D) Move her up using a draw sheet with two assistants.

Question 6

Weight-bearing in modified plantigrade is shared by

A) Both feet
B) Both feet and both hands
C) Both knees and both hands
D) One knee and one foot

Question 7

Bridging is an important component of many bed mobility activities. Which of the following statements regarding bridging is true?

A) The ending position is one of nearly full hip extension.
B) The maneuver is best performed with the patient in the supine position.
C) The patient is instructed to use the head and neck to assist.
D) The pelvis remains in an anterior tilt throughout the maneuver.

Question 8

List four indications and two contraindications for the use of a tilt table.

Question 9

The transition from sitting to supine is easiest when the patient is positioned on the bed in which position?

A) At the midpoint between the head and foot of the bed
B) Just below the midpoint between the head and foot of the bed
C) One third of the way down from the head of the bed
D) One third of the way up from the foot of the bed

Question 10

Bed mobility is a critical component of functional mobility. Which of the following statements regarding bed mobility activities is true?

A) Normal movement patterns are not generally considered.
B) Patients' movements are best controlled by applying forces centrally.
C) Directing patients' movements is best done with cues at the shoulders and hips.
D) Soft, pliable surfaces are easier for patients to move on.

Question 11

Your patient is a 56-year-old woman who just had a left total hip arthroplasty (posterior surgical approach) secondary to severe osteoarthritis. You are going to assist her to sitting for the first time after surgery. Which of the following is the best technique to use?

A) Long-sitting with transitioning to sitting on the side of the bed
B) Passively bringing her to sitting on the side of the bed using the draw sheet
C) Rolling her to the left side and transitioning her to sitting on the side of the bed
D) Rolling her to the right side and transitioning her to sitting on the side of the bed

Question 12

Patients often require physical assistance when moving in bed. Which is the most effective approach to applying force to assist the patient?

A) Apply force more centrally.
B) Apply force more distally.
C) Apply force on both sides of the patient.
D) Apply force on one side of the trunk.

Question 13

List the three movement restrictions for mobility skills after total hip arthroplasty (posterior approach).

Question 14

List the rationales for instructing your patient with hemiplegia to move from supine to sitting on each side of the bed.

Question 15

When transitioning from supine to sitting through side lying, what is the advantage of moving both legs off the edge of the bed together?

A) It allows the patient to maintain a neutral spine.
B) It is easier to move the legs together than individually.
C) It shifts the load to the upper extremities.
D) The legs provide a counterweight to the upper body.
Short Answer

Question 16

You are going to assist your patient, who requires moderate to maximum assistance, into a long-sitting position in the bed. Which of the following is the best position for you to assume?

A) Beside and slightly behind the patient, facing in the same direction as the patient
B) Beside and slightly in front of the patient, facing in the same direction as the patient
C) Beside the patient, with the patient holding firmly onto your forearm
D) In front of the patient, holding onto the gait belt

Question 17

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

Question 18

Which of the following is the key element of log-rolling?

A) Knee flexion in preparation for movement
B) Maintaining a neutral spine throughout the task
C) Pushing the patient with your underside arm to sitting from side lying
D) Reaching across the patient's body to pull him or her into side-lying position

Question 19

When assisting a patient to sitting, one hand is placed over the humeral head of the shoulder that is against the bed. This hand placement is used because

A) force applied at the humeral head allows for an effective line of force.
B) force applied downward will facilitate abduction of the shoulder.
C) the humeral head creates a short lever arm, making it easier for the therapist to assist.
D) using the humeral head will ensure that your patient does not pull on you.

Question 20

List at least three environmental factors that typically have to be managed or considered when performing bed mobility with your patient.