Safe Patient Handling & Mobility Chapter.8 Full Test Bank

Chapter 8: Transferring Dependent Patients: Safe Patient Handling and Mobility

Multiple Choice

1. Which of the following is MOST strongly related to injuries sustained when assisting patients?
   1. The age and weight of the person completing the transfer
   2. The diagnosis of the patient being transferred
   3. The number of repetitions of the task completed by the person
   4. Unexpected changes in the patient’s position during the transfer
2. Which of the following maneuvers is considered to be the MOST physically stressful to the caregiver?
   1. Repositioning a patient sideways in the bed
   2. Transferring a patient from a bathtub to a chair
   3. Repositioning a patient in a chair
   4. Transferring a patient from chair to toilet
3. Which of the following patient situations would MOST likely indicate the need for a mechanical lift transfer?
   1. The patient requires a level 3 transfer that does not involve a teaching component.
   2. The patient requires level 0 transfer assistance and has lower-extremity weight-bearing restrictions.
   3. The patient requires level 1 transfer assistance because of occasional loss of balance.
   4. The patient requires level 1 transfer assistance and weighs more than 250 lbs.
4. When working with a 23-year-old man who has complete paralysis from a spinal cord injury, which of the following should be the PRIMARY factor to consider when making recommendations to the family about bed-to-wheelchair transfers?
   1. The age of the persons assisting the patient with the transfer
   2. The amount of help the patient requires for the transfer
   3. The height of the surfaces involved in the transfers
   4. The number of steps leading into the house
5. A patient with good upper-body strength and poor lower-extremity strength weighs 385 lbs and is currently non–weight-bearing on the left lower extremity. Which of the following is the MOST appropriate method to transfer the patient from the bed to a wheelchair?
   1. One-person assist using a lift that is rated for 400 lbs
   2. Deferring the transfer because of the patient’s body weight and weight-bearing status
   3. One-person assist to perform a stand-pivot transfer
   4. Two-people assist using a bariatric transfer board
6. Upon completion of a total body lift with a sling to transfer a patient to a bedside chair, what is the BEST way to manage the sling at the end of the transfer when planning to return the patient to bed in 1 hour?
   1. Leave the sling under the patient, making sure to eliminate any wrinkles in the sling.
   2. Place a sheet between the patient and the sling to keep the patient dry.
   3. Remove the sling and place a sheet in the chair for use to transfer the patient back to bed.
   4. Remove the sling and replace it when it is time to transfer the patient back into bed.
7. Which of the following is true of a sit-to-stand lift?
   1. The sit-to-stand lift equipment does not include a foot plate.
   2. The sling for the sit-to-stand lift supports only the upper body.
   3. The sling for the sit-to-stand lift supports only the lower body.
   4. The sling for the sit-to-stand lift is typically applied with the patient in a supine position.
8. Which of the following patients would be the best candidate for use of a sit-to-stand lift?
   1. A 49-year-old person with multiple leg fractures and a full-leg cast
   2. A 57-year-old person who is able to comply with a right lower-extremity partial weight-bearing restriction
   3. A 62-year-old person who has had a stroke and requires maximum assistance to maintain static sitting balance
   4. A 73-year-old person with severe dementia
9. Which of the following is involved in the setup for a sit-to-stand lift transfer?
   1. The anterior aspects of the patient’s lower legs are placed in contact with the leg pads.
   2. The lower seam of the sling is placed at the patient’s gluteal fold.
   3. The patient places both hands in the lap to avoid injury during the lift.
   4. The patient’s knees are positioned in approximately 45-degree flexion.
10. A 48-year-old patient who fractured her pelvis has been using a sit-to-stand lift to transfer between the bed and the chair during therapy sessions. Which of the following would be the BEST option when beginning to work on standing tolerance with the patient?
    1. Enlist the assistance of another clinician to help block the patient’s knees while the patient maintains a standing position for increasing lengths of time.
    2. Have the patient sit at the edge of the bed and encourage her to push to standing while blocking her knees for stability.
    3. Transfer her to standing in the sit-to-stand lift and work on standing tolerance in the device.
    4. Wait until she can transfer out of bed independently and then work on standing tolerance with a walker.
11. Which of the following statements regarding the use of lateral transfer devices for supine patient transfers is true?
    1. During lateral transfers, the patient typically slides across the transfer device.
    2. Most lateral transfer devices rely on pulling forces rather than on pushing forces.
    3. Shearing on the skin is an unavoidable consequence of a dependent lateral transfer.
    4. All lateral transfer devices require the assistance of four people.
12. When completing a one-person lateral transfer from bed to stretcher with an air cushion device, where is the BEST place for the clinician to stand once the device is in place?
    1. At the foot of the device so that you can have maximum control of it
    2. At the head of the device so you can protect the patient’s head
    3. On the far side of the stretcher, positioned at the patient’s trunk
    4. Beside the bed, positioned at the patient’s trunk
13. Which of the following positions creates the greatest risk of injury to the clinician during a lateral supine transfer requiring the assistance of two or more people?
    1. Standing at the patient’s feet with nothing obstructing the lateral movement
    2. Standing at the patient’s head with nothing obstructing the lateral movement
    3. Standing beside the patient and leaning forward as the patient is moved laterally
    4. Standing beside the patient and moving onto the transfer surface as the patient is moved laterally
14. When transferring a supine patient using a lateral transfer device, which of the following maneuvers should always be avoided?
    1. Lifting a patient with the device
    2. Performing the transfer by yourself
    3. Transferring between slightly uneven surfaces
    4. Transferring patients heavier than 300 lbs
15. Which of the following lateral transfer devices is MOST appropriate for use with patients with integumentary problems?
    1. Air-assisted devices
    2. Patient rollers
    3. Semirigid transfer boards
    4. Slippery sheets
16. Which of the following considerations is appropriate when repositioning a patient upward in bed?
    1. Lowering the overall height of the bed before repositioning the patient
    2. Elevating the head of the bed 30 degrees before repositioning the patient
    3. Positioning yourself at the head of the bed, grasping the top edge of the drawsheet, and pulling the patient up
    4. Positioning yourself beside the bed in a semilunge stance
17. Which of the following items is generally NOT advised for repositioning of a seated patient?
    1. Friction-reducing sheet
    2. Sit-to-stand lift
    3. Rigid transfer board
    4. Total body lift
18. Which of the following is the MOST appropriate method of transferring a patient who weighs 348 lbs from the bed to a stretcher?
    1. Securing the assistance of one additional person and moving the patient laterally in one swift motion
    2. Securing the assistance of two additional people and moving the patient laterally in one swift motion
    3. Securing the assistance of two additional people and moving the patient laterally in a series of small motions
    4. Securing the assistance of three additional people and moving the patient in two motions