Which principle should a nurse follow to increase stability when transferring a client?
Lower the center of gravity.
Face away from the direction of movement.
Use a narrow base of support.
Use only the arms for lifting.
The Correct Answer is A
Choice A reason: Lowering the center of gravity enhances stability by bringing the body's weight closer to the base of support. This is achieved by bending the knees and keeping the spine aligned, which allows for better balance and control during transfers. It minimizes the risk of falls and musculoskeletal injuries for both the nurse and the client. This principle is foundational in safe patient handling and is supported by evidence-based guidelines in clinical ergonomics and body mechanics.
Choice B reason: Facing away from the direction of movement compromises control and increases the risk of injury. Proper transfer technique requires the nurse to face the direction of movement to maintain visual contact, ensure alignment, and coordinate actions with the client. Turning away can lead to awkward postures and poor body mechanics.
Choice C reason: Using a narrow base of support reduces stability. A wide base—feet shoulder-width apart—is essential for maintaining balance and distributing weight evenly. A narrow stance makes the nurse more susceptible to losing balance, especially when managing a client’s weight during transfer.
Choice D reason: Using only the arms for lifting is unsafe and inefficient. It places excessive strain on the upper body and increases the risk of injury. Proper technique involves engaging the leg muscles, maintaining a neutral spine, and using assistive devices when necessary. Arms should guide and support, not bear the full load.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Agitation and seizures are hallmark signs of withdrawal from substances such as alcohol, benzodiazepines, and certain stimulants. Withdrawal can cause central nervous system hyperactivity, leading to tremors, irritability, and seizures. Nurses must recognize these symptoms promptly to initiate appropriate care and prevent complications.
Choice B reason: While overdose may cause seizures, it is more commonly associated with respiratory depression, unconsciousness, or cardiac arrest. Agitation is less typical in overdose scenarios unless stimulant toxicity is involved, making this choice less accurate.
Choice C reason: Chronic pain may lead to irritability or mood changes but does not typically cause seizures. Seizures are neurological events not directly linked to pain syndromes unless secondary to another condition.
Choice D reason: Depression may present with agitation in some cases, but seizures are not a common symptom. This combination is more indicative of a neurological or substance-related issue than a mood disorder.
Correct Answer is D
Explanation
Choice A reason: Providing printed dietary guidelines is a useful educational strategy, but it primarily addresses physical health and does not encompass the emotional, social, or spiritual dimensions emphasized in the holistic health model. It reflects a biomedical approach rather than a holistic one.
Choice B reason: Administering medication is a conventional medical intervention focused on symptom management. While effective for physical relief, it does not address the broader aspects of well-being such as emotional or social support, which are central to holistic care.
Choice C reason: Scheduling a follow-up with a healthcare provider ensures continuity of care, but it remains within the traditional medical framework. It does not actively engage the client’s emotional, social, or spiritual needs, which are vital in holistic health planning.
Choice D reason: Encouraging attendance at a support group directly supports emotional and social well-being, key components of the holistic health model. This approach recognizes the interconnectedness of mind, body, and spirit, and empowers the client to engage in their own healing process through community and shared experience.
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