413 11. Mr. Deng’s doctor has written an order that states he can use a walker. You have been assigned to help him walk his first time. First, he should ______. A. touch the heel of his foot to the ground B. put the walker one step ahead C. step all the way to the front of the walker D. lift his toes off the ground on the first step 12. Healthcare workers can help patients perform active ROM exercises by ______. A. instructing how to perform the range of motion B. informing the patient that he should be mobile when home C. taking the patient outdoors so he can have fresh air D. moving the patient in his wheelchair to the dining room 13. Which device is used to maintain proper foot alignment when in bed? A. headboard B. backboard C. transfer board D. foot board 14. Healthcare workers should always lift and move patients on the count of ______. A. five B. two C. three D. four 15. When Linda, a healthcare worker, was asked to lift the patient in Room 525, she knew she would need to use good body mechanics. Which of the following should she not do? A. bend over the patient B. push, not pull C. stay close to the patient D. take small breaks 16. Which of the following statements about range- of-motion (ROM) exercises is true? A. ROM exercises should be done once a day. B. ROM exercises help prevent strokes and paralysis. C. ROM exercises are often performed during ADLs such as bathing or dressing. D. ROM exercises require at least 10 repetitions of each exercise. 17. When ambulating, a gait belt is often ______. A. worn around the nurse assistant’s waist for back support B. used to keep the patient positioned properly C. used to help stand the patient, and then removed before walking D. put around the patient’s waist to provide a way to hold onto the patient Short Answer 18. What are two benefits of having a proper posture? 19. What types of disorders are healthcare workers at risk of developing? When do these injuries typically occur? 20. What is good body alignment? 21. Describe the three stages of patient ambulation. 22. List three actions that help you prepare to assist with ambulation. 23. Why is it important for patients to change positions? 24. What are three safety guidelines to follow when positioning or moving a patient? 25. What areas of the body are more likely to develop decubitus ulcers? 26. Explain the guidelines for transferring a patient. 27. Identify the difference between flexion and extension. Critical Thinking Exercises 28. Find and read one article that discusses current research on two best safety practices for healthcare workers to use when assisting patients with ambulation and discuss how this information can be used in a healthcare facility. 29. Answer the following question by doing research. “Do people who run regularly have good body alignment, mechanics, and posture?” Give the rationale for your findings. 30. Describe words of encouragement and support you can use when helping patients with their ambulation or when conducting range-of- motion exercises. Discuss why this type of communication is helpful. 31. You are caring for Mrs. Garrett, who recently had a stroke. She does not speak well and has paralysis on her left side. She has a large family and they want to be as helpful as possible. What can you do and say to them to include them in Mrs. Garrett’s care? Copyright Goodheart-Willcox Co., Inc.