Deck 13: Transfers Across the Continuum: Safety and Management

Question 1

An OTA is working with an elderly client who has weakness due to overall deconditioning but also has bariatric concerns. What should the OTA consider when looking to transfer this client from bed to wheelchair?

A) Number of steps the client can independently take
B) Safe patient-handling equipment
C) Weight-loss plan to assist with transfers
D) Getting the correct assistance for the transfer from numerous staff members

Answer 1

Safe patient-handling equipment

Question 2

A client with spinal cord injury is being discharged home after staying in a rehabilitation hospital. The client and his caregiver live in a relatively small apartment without a lot of space. The caregiver has stated that the majority of wheelchair transfers will be in the bedroom. Which type of lift should be ordered at discharge for this client?

A) Patient lift
B) Overhead track lift
C) Standing aid lift
D) Folding lift

Answer 2

Overhead track lift

Question 3

When using proper body mechanics as a part of a transfer, what should the OTA consider in transfer preparation?

A) Position himself or herself close to the client, and ensure a good base of support.
B) Only use a transfer board for clients with obesity.
C) Always move the footplates from the scene.
D) Always use a gait belt.

Answer 3

Position himself or herself close to the client, and ensure a good base of support.

Question 4

An OTA is working with a client who has recently had a CVA. The client weighs 100 pounds and does not have good sitting balance at the edge of the bed. What transfer method would the OTA select to best meet the client's needs as in transferring from bed to wheelchair?

A) V-method
B) Squat-pivot transfer
C) Stand-pivot transfer
D) Safe patient-handling equipment

Question 5

An OTA is working with a client who has a spinal cord tumor causing overall weakness in the legs, but the client has strong arms. What would be the best transfer technique to use with this client to transfer between surfaces?

A) Side-scoot
B) Stand-pivot
C) Squat-pivot
D) Ceiling lift

Question 6

An OTA is using a full-length body sling to transfer a large client with a spinal cord injury to a wheelchair. What should the OTA keep in mind when using this type of sling with the safe patient-handling equipment?

A) The client must be monitored for skin breakdown due to potentially sitting on the sling for a prolonged period of time.
B) The client may not like the unsightly look of the sling because it cannot be removed from under him or her.
C) The hospital may not have enough of these slings, causing a need for clients to share them.
D) This type of sling should not be used with any clients.

Question 7

An OTA is working with a client who has undergone a total hip replacement and has restrictions for toe-touch weight-bearing. Which transfer should the OTA perform with this client?

A) Stand-hop
B) Stand-step
C) Stand-pivot
D) Patient lifter only

Question 8

An OTA is instructing a client on a stand-pivot transfer. The client is sitting in a wheelchair. What step would the OTA do next in order to promote a safe transfer?

A) Instruct the client to scoot to the edge of the chair.
B) Place a transfer belt on the client.
C) Have the client lean forward over her feet.
D) Fully engage the wheelchair locks.

Question 9

An OTA is instructing a client who has recently had spinal surgery on bed mobility. What will be the best and safest way to instruct the client to roll from side to side to don her orthosis?

A) The orthosis is donned in sitting for this type of client.
B) Grab railing and roll the upper body.
C) Bend legs and roll toward knees.
D) The log-rolling technique will be used to move the entire body.

Question 10

An OTA is working with a caregiver who states that she lifts her mother at least eight times per day to put her in her wheelchair, on the commode, into the shower, and into bed. What should be the OTA's initial step upon hearing this information?

A) Ensure that the caregiver understands proper body mechanics.
B) Work with the client and caregiver to understand the different types of transfers.
C) Look into a home health aide to do some of the lifting for the caregiver.
D) Order a patient lifter for the client.

Question 11

An OTA is working with a client with an exacerbation of multiple sclerosis, and the client is experiencing issues with adjusting herself in bed. The OTA and a student provide the client a V-method transfer. After the OTA and student position themselves at the sides of the bed, what would they do next?

A) Position legs shoulder-width apart and grab both corners of the draw sheet.
B) Encourage the client to move herself up in the bed.
C) Ensure that the client is comfortable and adjust her pillows.
D) Transfer weight from front foot to back foot and pull on the sheet.

Question 12

An OTA is working with a client newly admitted to a skilled nursing facility after deconditioning from pneumonia. When reviewing the chart, the OTA noticed that the client is unable to perform transfers independently. What should the OTA consider to help decide between a manual transfer and safe patient-handling equipment?

A) The pain medications the client has received during the day
B) The client's overall size and weight compared to the client's caregiver
C) The client's overall cognitive status and ability to actively participate in the transfer
D) Whether the client also has diabetic neuropathy