When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?

Stand with the knees locked.

Flex the hips and knees.

Shift the body weight from the front leg to the back leg.

Stand with the feet together.

Answer and Explanation

The Correct Answer is B

A. Stand with the knees locked: Locking the knees can lead to instability and increase the risk of injury to both caregivers. It is important to maintain flexibility in the knees to facilitate movement and maintain balance while performing transfers.

B. Flex the hips and knees: This posture helps both caregivers maintain a low center of gravity and utilize their leg muscles for lifting and moving, which is essential for preventing injury. By bending at the hips and knees, caregivers can exert more force while reducing the strain on their backs, ensuring a safer transfer for both the patient and themselves.

C. Shift the body weight from the front leg to the back leg: While shifting body weight is important during lifting, it is more effective when done in conjunction with bending at the hips and knees. This option does not provide the most optimal posture for lifting and moving the patient safely.

D. Stand with the feet together: Standing with feet together decreases stability and balance, which can increase the risk of falling or injury during a transfer. Caregivers should stand with their feet shoulder-width apart to enhance their base of support and provide better stability while moving a patient.

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Correct Answer is B

Explanation

A. Reduced chest width: While aging can lead to changes in the thoracic cavity, such as a decreased ability to expand the chest due to loss of elasticity in lung tissue, reduced chest width is not a primary musculoskeletal change associated with aging. The focus should be on musculoskeletal changes rather than respiratory or thoracic changes.

B. Decreased muscle mass: This is a significant and well-documented age-related change in the musculoskeletal system. Sarcopenia, or the loss of muscle mass and strength with aging, affects mobility and function in older adults. This change should be included in the presentation as it is relevant to the musculoskeletal system and impacts overall health and activity levels.

C. Thickened vertebral disks: With aging, vertebral disks typically degenerate and lose hydration, which can lead to thinning rather than thickening. This degeneration contributes to decreased height and may increase the risk of spinal issues, so thickening is not an accurate representation of age-related changes.

D. Increased force of isometric contraction: Aging generally leads to a decrease in muscle strength and function, including the force of isometric contractions. This decline can affect the ability to perform daily activities and maintain independence, making this statement inaccurate in the context of age-related changes.

A. Ask the patient to make eye contact to determine her affect. B. Notify the health care provider to recommend a psychological evaluation. C. Consider cultural differences during this assessment. D. Continue with the interview and document that the patient is depressed.

Correct Answer is C

Explanation

A. Ask the patient to make eye contact to determine her affect: Requesting the patient to make eye contact may be perceived as disrespectful or confrontational in some cultures, including many Asian cultures where looking down is a sign of respect and deference. This approach may not provide accurate insights into the patient’s emotional state.

B. Notify the health care provider to recommend a psychological evaluation: This action is premature and may not be warranted based solely on the patient's body language. Cultural factors should be considered before concluding that the patient requires psychological evaluation.

C. Consider cultural differences during this assessment: Recognizing and respecting cultural differences is essential in healthcare. In many Asian cultures, avoiding eye contact can be a cultural norm that signifies respect and humility rather than a lack of confidence or engagement. By considering these differences, the nurse can provide culturally competent care and avoid misinterpretations of the patient’s behavior.

D. Continue with the interview and document that the patient is depressed: Documenting the patient as depressed based solely on her body language is inappropriate and could lead to misdiagnosis. The nurse should gather more information and understand the context of the patient's behavior before making any assumptions about her mental health.

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When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following changes should the nurse plan to include?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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