Deck 6: Draping for Minimum Exposure and Maximum Dignity

Question 1

What is the proper procedure for handling linens following their use in draping? ____________________

Answer 1

At the end of the treatment session, collect all reusable linens and clothing and place them in the appropriate container, usually a laundry hamper with a removable bag, for cleaning. All reusable linens must be replaced at the beginning of each treatment session. Occasionally linens need to be replaced during a session if they become soiled.

Question 2

You are working in a large county hospital and see patients from a wide variety of backgrounds. Which of these patients is not likely to be the victim of abuse?

A) A 4-year-old girl with severe cerebral palsy
B) A 39-year-old man who is a bank executive
C) A 47-year-old woman who is homeless
D) A 79-year-old man who lives with his granddaughter
E) Any of these people could be the victim of abuse.

Answer 2

E

Question 3

You are working with a patient who has pain in both hamstrings, and you plan on doing some soft-tissue work in each leg to facilitate resolution of the pain. What would be the best way to drape this patient during this treatment?

A) Drape a sheet over both legs and roll up the sheet from the bottom until both legs are exposed.
B) Drape a sheet over both legs and expose one leg at a time, securing the sheet so that it does not move.
C) Ask the patient to remove his or her pants one leg at a time so that you can work on the exposed leg.
D) Position the patient in sidelying and place a towel over the bottom leg so the top leg is exposed.

Answer 3

B

Question 4

When you are getting to know a new patient, which of the following is essential for developing an effective therapeutic relationship?

A) Establishing a good line of communication between you and the patient
B) Establishing what your goals for the patient are going to be.
C) Letting patients know that they should not feel embarrassed about their disabilities
D) Explaining the behavioral expectations for patients in the clinic

Question 5

You have just received a new referral for a female patient of Asian descent who has undergone total hip arthroplasty. Which of the following responses is consistent with culturally related concerns more common within Asian populations?

A) She prefers to work with a clinician of the opposite gender.
B) She is very uncomfortable with your touching her affected leg.
C) She is very uncomfortable with wearing a hospital gown because it has been worn by other patients.
D) She is very uncomfortable with having her legs exposed in your presence.

Question 6

You are a male therapist evaluating a new female patient who has hip pain. The patient seems very anxious and uncomfortable. Prior to initiating the evaluation, you ask if she would prefer a female therapist. She assures you that she is comfortable with you. As the examination progresses, you determine that you need to palpate the groin area. She seems uneasy but insists that she wants to proceed. What could you do to decrease her anxiety about the situation?

A) Allow her to stay out in the gym during the treatment so she is not alone with you
B) Dim the lights in the room
C) Bring in a female to be present during the assessment
D) Perform a quick palpation while looking away from the patient

Question 7

You are a new female therapist working in an outpatient clinic. Today you are evaluating a 59-year-old man who is a native of China. He has lived in the United States for the past 20 years. Which of the following would you be most likely to do when establishing rapport with this patient?

A) Greet the patient in your usual fashion and determine through your contact with him what his preferences are in your clinic
B) Make sure that you do not ask the patient to wear a gown during the evaluation, because he will probably be uncomfortable
C) Make sure that you do not greet him with an outstretched hand, because he is likely going to be uncomfortable with the contact
D) Pass the patient to a male colleague because you know that this patient will not want to be treated by a female

Question 8

Your next patient on the inpatient rehabilitation unit is an 84-year-old woman recovering from a femoral fracture. She has not yet been to the gym for therapy but is planning on getting dressed this morning and going to the gym for exercise. The nurse is assisting her with dressing. The patient's family has brought only dresses from home for her to wear because she does not typically wear pants and has none at her home. What would be the best course of action with this patient?

A) Ask the nurse to assist the patient to put on two gowns so that she does not mess up a dress
B) Ask the nurse to assist the patient to put on scrubs pants, since she does not have any pants of her own
C) Ask the nurse to assist the patient to put on one of her dresses and say you will drape her in the gym
D) Ask the nurse to inform the patient's family that they will need to purchase pants so that she can participate in physical therapy

Question 9

Explain the primary challenge of repositioning a patient during activities that entail draping. ____________________

Question 10

List three benefits of draping patients:

Question 11

Which of the following is most commonly experienced by a patient whose examination or intervention requires the removal of clothing?

A) Anger
B) Sadness
C) Fear
D) Vulnerability

Question 12

Experiences of sexual and physical abuse can elicit patient responses that are similar to those associated with which disorder? ____________________

Question 13

Which of the following positions generally creates the greatest feeling of vulnerability for the patient?

A) Standing
B) Sidelying
C) Sitting
D) Supine
Short Answer

Question 14

The prone position poses some specific challenges with regard to draping. List two things you can do to minimize patient discomfort in this position. ____________________

Question 15

Your new patient in an orthopedic outpatient clinic has a known history of physical and emotional abuse. Which of the following might you do during your initial evaluation?

A) Greet the patient with a quiet voice and a hand on the patient's shoulder.
B) Keep a distance of at least 4 ft between you and the patient at all times.
C) Make sure that you wear gloves so that your hands do not contact the patient.
D) Watch the patient closely during the evaluation for any signs of discomfort or distress.