Exam Questions Ch12 Vertical Transfers Chair To Plinth And

Chapter 12: Vertical Transfers: Chair to Plinth and Floor to Chair

Multiple Choice

1. When is it MOST likely that a stepstool will be required for transfers between chairs and plinths?
   1. When the patient has a weight-bearing restriction
   2. When the patient has weak quadriceps muscles
   3. When the patient is 6 feet tall or taller
   4. When the table surface is above the patient’s gluteal folds
2. Which of the following is the initial position for a turnaround technique to transfer from the floor to a wheelchair?
   1. In long-sitting facing away from the chair
   2. In quadruped position facing the chair
   3. Side-sitting with the strong leg close to the chair
   4. Sitting with knees bent facing away from the wheelchair
3. An independent backward lift transfer from the floor into a wheelchair requires which of the following?
   1. A soft wheelchair cushion on which to transfer the patient
   2. A wheelchair with a seat that is lower than those of standard wheelchairs
   3. Adequate patient ankle strength and range of motion
   4. Adequate patient shoulder strength and range of motion
4. Which of the following is a component of a two-person patient lift from the wheelchair to the floor?
   1. One clinician stands behind the patient, straddling the chair’s drive wheel.
   2. One clinician stands in front of the patient and lifts the patient’s distal thighs.
   3. The patient assists by pushing down on the wheelchair armrests.
   4. The wheelchair legrests are elevated.
5. What accommodation is made to ensure safety as patients are learning to perform transfers between the chair and floor?
   1. A cushioned surface is used to make the maneuver more comfortable.
   2. A minimum of two persons are present to assist in the transfer.
   3. A transfer device (such as a lift) is used during the initial practice.
   4. The patient is provided pads for the hips to cushion any impact.
6. When assisting a patient during a high transfer such as from chair to plinth, which of the following represent the best contact points for guarding the patient?
   1. At the pelvic girdle and thighs
   2. At the pelvic girdle and trunk
   3. At the shoulder and pelvic girdles
   4. At the shoulder and thighs
7. A 60-year-old patient who has recently undergone total right knee arthroplasty is seated on a plinth with both feet resting on a stepstool. How should the patient be instructed to step down off the stepstool and onto the floor?
   1. Step down first with the right foot.
   2. Step down first with the left foot.
   3. It does not matter which foot steps down first.
   4. Step down with both feet simultaneously.
8. Which of the following strategies is MOST important to consider when teaching a patient to get up from the floor if a fall were to occur at home?
   1. Whether the patient wears a personal medical emergency response unit
   2. The patient’s blood pressure
   3. Whether the patient’s home is one or two stories
   4. The patient’s strength and range of motion
9. During a floor-to-wheelchair transfer, why are the casters positioned forward?
   1. To keep the chair from rolling during the transfer
   2. To make the chair less likely to tip backward
   3. To make the chair less likely to tip forward
   4. To position the casters out of the way for the transfer
10. A 19-year-old patient with paraplegia is preparing for discharge home from a rehabilitation unit. The patient does not understand why the clinician is teaching her to transfer from the wheelchair to the floor and back. Which of the following is the BEST explanation to give her?
    1. This transfer is good for upper-body strengthening.
    2. This transfer is good for lower-extremity stretching.
    3. This transfer is important for functional independence.
    4. This transfer is similar to bathtub transfers.
11. Which of the following is the best way for a patient with no lower extremity functional strength to begin a transition from the floor to a chair?
    1. Half-kneeling, facing away from the chair
    2. Half-kneeling, facing the chair
    3. Kneeling facing away from the chair
    4. Long-sitting, facing away from the chair
12. A patient with lower-extremity paralysis has been working on transferring from the floor into his wheelchair and is experiencing difficulty secondary to upper extremity weakness. What can be done to make the transfer easier?
    1. Turn the wheelchair casters backward.
    2. Have the patient move into a quadruped position first.
    3. Place a stool in front of the wheelchair for the patient to move onto first.
    4. Tip the chair forward to make it easier to reach.

True/False

13. Transfers between chair and plinth are a variation of the squat-pivot transfer.

14. There are multiple acceptable ways to accomplish a floor-to-chair transfer.

15. The turnaround into quadruped technique to move from a wheelchair to the floor requires that the patient lift the hips up off the seat and turn around before lowering the body to the floor.