Body Mechanics: Moving,

Positioning, Transferring,
and Lifting the Client

TRUE OR FALSE
6. T F When transferring a client to
a chair, choose a chair based
Circle Tfor true, or circle Ffor false. primarily on how comfortable the
chair will be.
1. T F Log-rolling keeps the spine 7. T F
straight. Aclient lying in bed or sitting in a
chair should be repositioned every
2. T F When you lift, move, or carry 3 to 4 hours.
objects, hold them with your arms
extended. 8. T F Rubbing of one surface against
another is called friction.
3. T F When lifing an object from the
floor, bend from the waist. 9. T F The way in which body parts are
aligned with one another is called
4. T F By using two or more people base of support.
to help a heavy, weak, or very 10. T F The skin sticking to a surface,
old client move up in bed, you
protect only the client from causing the muscles to slide in the
direction the body is moving, is
injury. called skinning.
3. T F In some agencies, a turning pad 11. TF Another name for atransfer or
can be an incontinence pad or a
folded sheet. safery belt is agait belt.

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12. T F Turning the client as a unit in 25. T F You should place the pillow
alignment in one motion is called against the headboard when
body mechanics. moving a client up in bed to
prevent her head from
13. T F Another name for the back-lying
or dorsal
headboard. hiting the
recumbent position is the E
Supine position. 26. T The level of the bed should be
14. T F raised horizontally when the client
Another name for the side-lying is being repositioned to reduce
position is the sideline position. theamount of work the support
15. T worker has to do.
F The semi-sitting
position, with
the head of the bed elevated 45 to 27. T F Two staff members work together
60degrees, is called the Franklin when raising an older client's head
position. and shoulders to provide more
16. T F Aleft-side-lying position in which support, for clients with fragile
the upper leg is sharply flexed is bones and joints.
called the Sims' position. 28. T F A transfer pad is used to keep
17. T F
Another word for posture is body the bedding neater and to reduce
mechanics. wrinkling.
18. T F 29. T F A transfer belt is used on men who
Aturning sheet or pad is also have poorly fitting trousers to keep
called a transfer sheet or pad.
them from falling down.
19. T F Sitting on the edge of the bed is 30. T F The seat of the wheelchair is
called edging.
padded to promote the client's
20. T F The position in which the client comfort.
is placed on his abdomen with his
head turned to one side is called 31. T F Mechanical lifts are used when
the drone position. a client cannot assist with a
transfer.
21. T F Achair used to move clients from
32. T F The number of staff members
one place to another is called a
wheelchair. needed to transfer a client from
the bed to a chair or wheelchair
22. T F You can provide a better base of depends on the client's physical
support for lifting by standing abilities and condition.
with your legs and feet apart for a
wide base of support. 33. T F The Sims' position is the righr-side-
23. T
lying position.
F Providing a good base of support
will help to reduce the risk of injury. 34. T F The supinee position is aback-lying
position.
24. T F When you move a client up in
35. T F ill
bed, it is important to protect the The prone position is difficult for
skin fromn shaving. clients to maintain.

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36. T F When in the supine position, ankles
should be clevated on two 41. How can you provide comfort and safety to a
pillows. client being lifted or moved in bed?
37. T F The stroke position is also known as A. Check with your supervisor and the
the lateral position. care plan about limitsor restrictions in
moving or positioning that clíent
decide
38. T F To correctly lift an object from the B. While you are moving the client, much
how to move the client and how
Aloor, you should use muscles in
your shoulders, upper arms, hips, help you need
and thighs. C. Ask for help before starting the move
D. Communicate directions with your
helper by counting 1-2-3 and then
MULTIPLE RESPONSE moving together
E. Move the clíent in one large movement
Erom the list below, choose all of the correct
answerS,
Cover and screen the clíent for privacy
G. Make sure tubes or draínage containers
connected to the client are not pulled,
39. Whenworking together, two co-workers can tangled, or pinched during the move
ensure they move the client at the same time by:
A. One person communicating directions H. Position the client in good alignment
after the move
when lifting Make sure linens are wrinkle-free after
B. Counting to 10 moving the client
C. Lifing together
42. Log-rolling is used to turn:
40. It is important for a support worker to follow A. Clients with arthritic spines or knees
the guidelines for good body mechanics. B. Clients recovering from hip fracrures
These guidelines are: C. Clients with spinal cord injuries
A. Assess the situation before you begin D. Clients with facial injuries
lifting E. Clients recovering from spinal cord
B. Face your work area
Surgery
C. Bend your back and squat when lifting
D. Tighten your stomach muscles and tuck 43. What observations should you make when
in your pelvis as you lift the client is dangling the legs?
E. Hold objects close to your body when A. Pulse and respirations (if instructed to
lifting, moving, or carrying them do so)
F Avoid unnecessary bending and reaching B. The length of time the person's legs
G. Turn your whole body in sections when dangled
changing he direction of your movement C. Complaints of dizzines, light-headednes,
or difficulty breathing
D. How well the activity was tolerated
E. The amount of assistance that you wish
you had

44. Before using a lift, make sure:

A. The client has read the lift policy for
your agency
B You are trained to use the lift
C. The lift works
D. The client's weightdoes not exceed the
lift's weight limit
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45. When youposition a client, you
should 49. When transferring aclient to a stretcher:
follow these safery regulations: A. The client is mOved by
moving the head
A. Check with the care plan for first
the best
position for the client. B. Atransfer belt is used to lift the
B. Ask the client when you C. The head of the bed lis raised client
tion her.
should reposi transfer before the
C. Use good D. Three or more staff members are
body mechanics.
D. Ask for help before needed
process.
beginning the
E. Explain the procedure to the client after 50. Body alignment is:
performing the procedure. A The way the head, trunk,,and legs are
E. Be gentle when moving the client. aligned with each other
G. Provide for privacy. B The same as body mechanics
H. Leave the client in good body alignment. C. The base of support
Use pillows as directed in the care plan D. The area on which an object rests
for comfort and support.
J. Make sure linens are wrinkle-free by 51. Mr. John Dunlop is turned as a unit, with
tucking the top sheet under the mattress. one motion. This is called:
K. In facilities, place the call bell within A. Body mechanics
the client's reach. B. Log-rolling
C. Ergonomics
46. What are the benefits of repositioning a D. The safety roll
client frequently?
A. Promotes comfort and well-being 52. Mrs. Renee Nadeau has slid down in bed.
B. Makes breathing easier Her skin sticks to the bed while her muscles
C. Keeps linens cleaner and fresher smelling move down. This is called:
D. Helps prevent many complications A. Friction
(e.g., pressure ulcers and contractures) B Abrasion
C. Tension
D. Shearing
MULTIPLE CHOICE
Circle the correct answer. 53. When you are giving bedside care, the bed
should be:
47. Atransfer sheet or pad is used by placing it A. At is lowest horizontal level
under the client: B. At its highest horizontal level
A. From the head to above the knees C. Level with your waist
B. From the shoulders to the hips D. In Fowler's
C. From the head to the hips
position
D. From the shoulders to the knees 54. You need to move a client up in bed. lo
reduce your risk of injury:
48. Why should shoes with nonskid soles be A. Use a transfer belt
worn by the client being transferred to a B. Raise the head of the bed prior to mov
chair or wheelchair? ing the client
A. To provide a good base of support C. Instruct the client to place both hands
B To make the client more steady on his feet around your neck and shoulders
C. To prevent the client sliding or slipping D. Get assistance from a co-worker
on the foor
D. To provide strength on the client's weak
side
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R Elsevier
 the
CHAPTER 25 Body Mechanics: McMoving, Positioning, Transferring, and Lifting

prevent falls during transfers, you should

To that FILL IN THE BLANKS
wheelchair or shower chair
client is placed on
ensure
wheelsare: inwhich the
A. Fullyinflated 60. The position turned to one
híshead
Locked and aligned correctly his abdomen with
side is called the position.
C. Removed
D. Positioned sideways and at right angles and a co
How can you make sure that you same
to the chair 61. the person at the
worker both move
Gupta has weakness on her time when working together?
56. MMrs. Arja
lef side. Where should you position the
wheelchair?
A Atthe foot of the bed used,
62. When a lift sheet is
B. Atthe head of the bed left side
and

C. Next to the bed on her

D. Next to the
bed on her right side are reduced, and the person can
move, turn, or transfer a be
57. When you have to move a person to the side
of
you
client, it is always best to: 63. Why should
A. Use a transfer belt the bed before turning?
B. Have a co-worker help you
C. Follow the care plan
D. Usea mechanical lift
transferring, or
58. Beforemoving, turning, always:
lifting a client, you should going to do in a 64. Why do you pad the
seat of the wheelchair?
A. Explain what you are
understands
way the client
B. Ask a co-worker to help you
C. Apply atransfer belt lifts used?
D. Use a mechanical lift 65. When are mechanical

$9. Ano-lift policy mcans: to pick up

A. Youshould not bend overfloor
something that fell to the used for lift
need to be
D. Mechanical lifts
ing clients
special lift team is allowed to
C. Only the
lift clients
D, Clients are not allowed to
be lifted at
any time

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 Clienr
and Liftingthe
154
CHAPTER 25 Positioning, Transferring,
Body Mechanics: Moving
shows the
FILL IN THE 69, The illustration below
BLANKS
Complete each statement, referring to the illus position, with the feet positioned over
trations below.
66. The illustration below shows the
position.

70. The illustration below shows the

position.

67. The illustrarion below shows the

position.

71. When lifting correctly as in the images

below, which muscle groups are used?
68. The illustration below shows the

position, with a pillow placed under the

to prevent
pressure on the toes.

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Elsevier Canada, a division of fReed Elsevier
Canada,Ltd