Exam 11: Horizontal Transfers

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In both squat-pivot and standing-pivot transfers, which of the following is the first task that must be accomplished?

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B

Your patient is 73 years old and has just had a total hip replacement (posterior approach). He has had difficulty with alertness since coming to the room after surgery yesterday. You need to move him from sitting to standing with the walker for the first time, but you are concerned that he does not remember how to complete the maneuver with his hip precautions. What is one way that you can ensure his understanding?

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A

Your patient is a 60-year-old man who has just had bilateral transfemoral amputations secondary to an industrial accident. Prior to the accident he had been in good health and worked full-time in construction. He will be going home alone when he leaves rehabilitation. Which of the following transfers will provide him the most independence during his initial period of poor balance?

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B

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

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You are instructing your patient in independent squat-pivot transfers. Your patient is a 110-lb. woman who is fully alert and oriented, and she plans to return home using a wheelchair for her mobility needs. She will be home alone most of the day and must be able to transfer independently. Which of the following instructions will you be most likely to give her?

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

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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 during a transfer?

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Which of the following statements regarding seated transfer board use is true?

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List two advantages of seated transfers over standing transfers.

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When performing a transfer using a transfer board, where should you position the board?

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Which of the following factors is a requirement for performing independent seated lateral transfers without a transfer board?

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What are the three ways to move a patient's hips forward in a chair in preparation for a transfer?

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Which of the following statements is true regarding use of a gait belt during transfers?

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Anteroposterior seated transfers allow patients to transfer directly between two surfaces. Which of the following patients might use such a transfer?

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What is the best hand placement for the patient during a transfer to the left when a transfer board is used?

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When positioning the feet for a pivot transfer, the inner foot is positioned

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You have just evaluated your patient, who is recovering from abdominal surgery, and you are preparing to assist the patient from the bed to the bedside chair using a squat-pivot transfer. Your assessment of the patient is that her lower-extremity strength is poor bilaterally. Which of the following positions would be the safest to assume for this transfer?

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Your patient is an 80-year-old woman who has just sustained a middle cerebral artery stroke and has been transferred to rehabilitation after a short acute hospital stay. You are going to transfer her from the bed to the wheelchair for the first time. Her left side is affected, with significant arm and leg weakness. Which of the following transfers would you be most likely to choose?

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When performing a wheelchair using a transfer board, what should be the position of the wheelchair relative to the target transfer surface?

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You are working with a 39-year-old patient with paraplegia. You have chosen to perform a squat-pivot transfer from the bed to the wheelchair, moving to the patient's stronger left side. Which of the following directions is most appropriate to give the patient to facilitate the movement?

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