Test Questions & Answers Chapter 11 Manual Lateral Transfers

Chapter 11: Manual Lateral Transfers: Seated and Pivot

Multiple Choice

1. Which of the following describes the BEST use of a gait belt?
   1. Place the gait belt directly on the patient’s skin.
   2. Pull the gait belt snug around the patient so that two fingers can fit between the belt and the patient.
   3. Allow excess length of the gait belt to hang down on the posterior aspect of the patient.
   4. Place the gait belt around the patient’s waist with the buckle directly on the umbilicus.
2. Which of the following factors is a requirement for performing independent seated lateral transfers without a transfer board?
   1. Full weight-bearing on the lower extremities
   2. Good trunk control
   3. Good quadriceps strength
   4. Level transfer surfaces
3. When performing a transfer using a transfer board, where should you position the board?
   1. Under the coccyx
   2. Under the ischial tuberosity
   3. Under the lower third of the thigh
   4. Under the upper third of the thigh
4. What is the BEST hand placement for the patient during a transfer to the left when a transfer board is used?
   1. Left hand around the far end of the board for leverage
   2. Left hand on the board close to the hips
   3. Left hand open far out enough on the board to allow the hips to move left
   4. Left hand through the opening in the board for leverage
5. Which of the following patients is MOST likely to use anteroposterior seated transfer?
   1. A patient with a bilateral transfemoral amputation
   2. A patient who has sustained a cerebrovascular accident
   3. A patient with spinal fusion
   4. A patient with a total knee replacement
6. In both squat-pivot and stand-pivot transfers, which of the following is the FIRST task that must be accomplished?
   1. Shifting the patient’s weight over the hip opposite the transfer direction
   2. Shifting the patient’s center of mass (CoM) forward over the pivot point
   3. Positioning the patient’s base of support (BoS) anterior to the CoM
   4. Positioning the patient’s feet posteriorly
7. When positioning the feet for a pivot transfer, which position is MOST appropriate for the inner foot?
   1. In close contact with the outer foot to create an increased BoS
   2. Separated from, but in line with, the outer foot for maximum stability
   3. Slightly back to allow maximum liftoff
   4. Slightly forward to prevent obstruction
8. When performing a transfer, which of the following is the BEST way to prevent a patient with a partial weight-bearing restriction from putting too much weight on the affected leg?
   1. Have a technician hold up the involved leg during the transfer.
   2. Have the patient extend the knee of the involved lower extremity.
   3. Leave the involved leg on the wheelchair footrest during the transfer.
   4. Tell the patient to hold the foot in the air and put no weight on it.
9. When performing a wheelchair transfer using a transfer board, what should be the position of the wheelchair relative to the target transfer surface?
   1. The chair should be positioned at a distance from the transfer surface equal to the width of the board.
   2. The chair should be positioned at an acute angle to the transfer surface.
   3. The chair should be positioned facing the transfer surface.
   4. The chair should be positioned parallel to the transfer surface.
10. Which of the following statements regarding seated transfer board use is true?
    1. The transfer board is smooth and will not cause friction on the patient’s skin.
    2. The transfer board is used for dependent transfers only.
    3. The transfer board is used primarily to slide the patient across to the support surface.
    4. The transfer board can be used between surfaces of slightly different height.
11. Your patient is a 60-year-old man who has just had bilateral transfemoral amputations secondary to an industrial accident. Before the accident, he had been in good health and worked full time in construction. He will be going home alone when he leaves rehabilitation.
    1. An anteroposterior seated transfer using a sliding board
    2. An anteroposterior seated transfer without using a sliding board
    3. A lateral seated transfer using a transfer board, moving to his right
    4. A lateral seated transfer using a transfer board, moving to his left
12. A 39-year-old patient with paraplegia needs to transfer from the bed to a wheelchair positioned to the patient’s left. Which of the following instructions is MOST appropriate to give the patient to facilitate the movement?
    1. “Maintain your chin on your chest as I assist you in moving to the chair.”
    2. “Keep your head in the midline position as I assist you in moving to the chair.”
    3. “Turn your face to the left as I assist you in moving to the chair.”
    4. “Turn your face to the right as I assist you in moving to the chair.”
13. When instructing a cognitively intact patient on the proper technique to transfer in and out of a wheelchair at home, which of the following instructions is MOST appropriate to provide the patient?
    1. “You can transfer from the wheelchair to the bed with the armrest closest to the bed moved out of the way.”
    2. “You can transfer from the wheelchair to the bed with the footrests in place.”
    3. “You can transfer from the wheelchair to the bed while wearing socks.”
    4. “You do not need to lock the wheels on the wheelchair before transferring to the bed.”
14. A 65-year-old woman who underwent abdominal surgery yesterday and has poor strength in her bilateral lower extremities needs to transfer from the bed to the bedside commode. Which of the following positions would be the safest to assume for this transfer?
    1. Behind the patient, with one hand on the gait belt and one on the anterior aspect of her shoulder
    2. Beside the patient, with one hand on the gait belt and one on the anterior aspect of her shoulder
    3. In front of the patient, with both of her legs blocked by your legs
    4. In front of the patient, with one of her knees blocked by your legs
15. A 73-year-old patient is 2 days status post total hip replacement (posterior appropriate). He has been lethargic during his hospitalization but needs to transfer to the wheelchair for transport. Which of the following would be MOST appropriate to determine a patient’s understanding of a transfer technique?
    1. Ask the patient to repeat the steps back to before beginning the transfer.
    2. Demonstrate the proper technique several times to make sure the patient understands.
    3. Show the patient an illustration of the correct technique before attempting the maneuver.
    4. Request the patient be transferred on a stretcher.
16. An 80-year-old patient who has sustained a right middle cerebral artery stroke with left-sided weakness needs to transfer from the bed to the wheelchair for the first time. Which of the following transfers would be MOST appropriate for this patient?
    1. Squat-pivot transfer to the left side
    2. Squat-pivot transfer to the right side
    3. Stand-pivot transfer to the left side
    4. Stand-pivot transfer to the right side
17. Which of the following statements is true regarding use of a gait belt during transfers?
    1. The belt can always prevent a patient from falling.
    2. The belt is used primarily to control the motion of an unstable patient.
    3. The belt provides the clinician with leverage to lift the patient effectively.
    4. The belt should be used for all seated transfers.
18. Which of the following is advisable when performing a two-person lateral transfer of a patient from a wheelchair to the bed?
    1. Position the wheelchair at a 90-degree angle to the bed.
    2. Position one clinician in front of the patient and one clinician on the bed.
    3. To lift the patient’s trunk, the clinician reaches around and grasps the patient’s folded arms.
    4. Perform the transfer in a series of small lifts.

True/False

19. Physical assistance with seated lateral transfers is provided most effectively at the hips.

20. Bare feet are a good alternative to slippery bedroom slippers for transfers.