Chapter 13 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 13 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse measures the arc or range of motion of a joint using a/n: 1)

1. A) B) Goniometer.
2. C) D) Measuring tape and compass.

Answer: B

Explanation: A)       The goniometer is a handheld instrument that measures the arc or range of motion of a joint. An audiometer measures hearing, a voltmeter measures electricity, and a measuring tape and compass would be difficult, if not impossible, to use to

accurately measure joint mobility.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The goniometer is a handheld instrument that measures the arc or range of motion of a An audiometer measures hearing, a voltmeter measures electricity, and a measuring tape and compass would be difficult, if not impossible, to use to

accurately measure joint mobility.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The goniometer is a handheld instrument that measures the arc or range of motion of a An audiometer measures hearing, a voltmeter measures electricity, and a measuring tape and compass would be difficult, if not impossible, to use to

accurately measure joint mobility.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The goniometer is a handheld instrument that measures the arc or range of motion of a An audiometer measures hearing, a voltmeter measures electricity, and a measuring tape and compass would be difficult, if not impossible, to use to

accurately measure joint mobility.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 13-1: Define the key terms used in the skills of maintaining joint mobility.

• The nurse observes the client performing range of motion exercises by using the strong arm to help 2) the weaker arm move through the The nurse documents the client performed:

1. A) Active range of B) Active-assistive range of motion.
2. C) Passive range of D) Continuous passive range of motion.

Answer: B

Explanation: A)       The client is using one arm to assist the other arm through range of motion, so it is active-assistive range of motion. If the client performed range of motion in each extremity without assistance, it would be active range of motion. Passive range of

motion is defined as motion performed by another without the client’s

intervention, whether continuous or intermittent.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

 

1. The client is using one arm to assist the other arm through range of motion, so it is active-assistive range of If the client performed range of motion in each extremity without assistance, it would be active range of motion. Passive range of motion is defined as motion performed by another without the client’s intervention, whether continuous or intermittent.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client is using one arm to assist the other arm through range of motion, so it is active-assistive range of If the client performed range of motion in each extremity without assistance, it would be active range of motion. Passive range of motion is defined as motion performed by another without the client’s intervention, whether continuous or intermittent.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client is using one arm to assist the other arm through range of motion, so it is active-assistive range of If the client performed range of motion in each extremity without assistance, it would be active range of motion. Passive range of motion is defined as motion performed by another without the client’s intervention, whether continuous or intermittent.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 13-1: Define the key terms used in the skills of maintaining joint mobility.

 

• The nurse teaches the immobilized client range of motion to improve muscle strength and 3) endurance, and help maintain cardiorespiratory The nurse could be teaching the client all of the following except:

1. A) Active range of B) Passive range of motion.
2. C) Active-assistive range of D) Active or active-assistive range of motion

Answer: B

Explanation: A)      Passive range of motion maintains muscle integrity but does not build muscle strength, because the client does not contract the muscles. Active or active-assistive range of motion requires the client to contract the muscles, and improves muscle strength.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Passive range of motion maintains muscle integrity but does not build muscle strength, because the client does not contract the Active or active-assistive range of motion requires the client to contract the muscles, and improves muscle strength.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Passive range of motion maintains muscle integrity but does not build muscle strength, because the client does not contract the Active or active-assistive range of motion requires the client to contract the muscles, and improves muscle strength.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Passive range of motion maintains muscle integrity but does not build muscle strength, because the client does not contract the Active or active-assistive range of motion requires the client to contract the muscles, and improves muscle strength.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 13-2: Identify indications for various types of ROM exercises:

1. Active
2. Passive
3. Active-assistive

 

• Which of the following clients would the nurse anticipate benefitting from continuous passive 4) motion devices?

1. The unconscious client
2. The quadriplegic client
3. The client who is confined to bedrest while in traction
4. The postoperative client who had total knee replacement

Answer: D

Explanation: A)      The continuous passive motion device is a postoperative treatment method used to promote recovery after joint surgery. The unconscious client and the quadriplegic client would require passive range of motion, while the client confined to bedrest

while in traction would be able to perform active range of motion.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. The continuous passive motion device is a postoperative treatment method used to promote recovery after joint The unconscious client and the quadriplegic client would require passive range of motion, while the client confined to bedrest

while in traction would be able to perform active range of motion.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. The continuous passive motion device is a postoperative treatment method used to promote recovery after joint The unconscious client and the quadriplegic client would require passive range of motion, while the client confined to bedrest

while in traction would be able to perform active range of motion.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. The continuous passive motion device is a postoperative treatment method used to promote recovery after joint The unconscious client and the quadriplegic client would require passive range of motion, while the client confined to bedrest

while in traction would be able to perform active range of motion.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 13-2: Identify indications for various types of ROM exercises:

1. Active
2. Passive
3. Active-assistive