Deck 8: Transfer Activities

Question 1

What reaction might a patient with a spinal cord injury experience after transferring from supine to sitting?

A) Syncope
B) Hip dislocation
C) Hypertension
D) Radiculopathy

Answer 1

A
Syncope is a temporary suspension of consciousness as a result of cerebral anemia.A patient with a spinal cord injury may experience this when transferring from a supine to a sitting position because the blood pressure may not adapt quickly to the positional change.

Question 2

What level of assistance is used if a patient requires only verbal cues to perform an activity safely and within an acceptable time frame?

A) Standby assistance
B) Contact guarding
C) Minimal assistance
D) Moderate assistance

Answer 2

A
Under standby or supervision assistance,the patient requires verbal or tactile cues,directions,or instructions from another person positioned close to,but not touching,the person in order to perform the activity safely and within an acceptable time frame.

Question 3

During a standing,assisted pivot transfer,where should a caregiver's left leg be placed if the patient has significant right knee weakness?

A) Posterior to the weak knee
B) Anterior to the weak knee
C) Lateral to the weak knee
D) Near the patient's stronger side

Answer 3

B
When the patient transfers,leading with the left (stronger)extremity,for example,stabilize the weaker (right)knee by placing your left foot next to the lateral area of the right foot and by placing your left knee on the medial side of the right knee.This position will prevent buckling of the weak knee.

Question 4

Which type of transfer assistance is used when a caregiver is positioned close to the patient with his or her hands on the patient or safety belt?

A) Standby assistance
B) Contact guarding
C) Minimal assistance
D) Moderate assistance

Question 5

To perform an assisted sitting transfer with a transfer board,where should the board be positioned?

A) Directly under the buttocks
B) Under the posterior portion of the buttocks
C) Beneath the thigh and over the drive wheel
D) Beneath the thigh and in front of the drive wheel

Question 6

What is the primary precaution to observe during the transfer of a patient with a burn wound?

A) Avoidance of dizziness or vertigo
B) Avoidance of quick motions in any direction
C) Avoidance of shear forces across the burn or graft site
D) Avoidance of active motion by the patient

Question 7

How should the wheelchair be positioned to perform a standing,dependent pivot transfer to the bed?

A) At the head of the bed, parallel to the length of the bed
B) At the foot of the bed, parallel to the length of the bed
C) At the foot of the bed, at an angle of 45-60 degrees to the bed
D) Midway between the head and foot of the bed, at an angle of 45-60 degrees to the bed

Question 8

Which movement is recommended during the transfer of a patient with low back trauma or discomfort?

A) Segmental rolling
B) Logrolling
C) Full trunk flexion
D) Full trunk rotation

Question 9

What type of transfer assistance is used when the patient performs only 25 to 49 percent of the activity?

A) Minimal assistance
B) Moderate assistance
C) Maximal assistance
D) Dependent assistance

Question 10

Which transfer is sometimes referred to as the "quad pivot"?

A) One-person dependent
B) Two-person dependent
C) Sitting, independent
D) Sitting, assisted

Question 11

If a patient is transferring to the right from a wheelchair to bed,where should the buttocks be positioned before the transfer?

A) In the middle of the wheelchair seat
B) Toward the back of the wheelchair seat, behind the drive wheel
C) To the right side of the wheelchair seat, behind the drive wheel
D) Toward the front of the wheelchair seat, in front of the drive wheel

Question 12

Where should a caregiver not allow a patient to place his or her upper extremities during a standing,dependent pivot transfer?

A) Around the caregiver's neck
B) Around the caregiver's upper back
C) Around the caregiver's middle back
D) Across the patient's chest

Question 13

Where should the caregiver position a patient's upper extremities when a mechanical lift is used?

A) Folded over the abdomen
B) Around the outside of the sling
C) Holding onto the spreader bar
D) Above the head

Question 14

In transferring a patient with a recent total hip replacement from a chair to a bed,which motions should be avoided?

A) Adduction of the replaced hip beyond midline
B) Excessive internal or external rotation
C) Hip flexion beyond 60-90 degrees
D) All of the above

Question 15

In the transfer of a patient from supine to prone,how should the patient's lowermost upper extremity be positioned?

A) Folded across the chest
B) In 90 degrees of flexion
C) In 90 degrees of abduction
D) Tucked along the patient's side

Question 16

In standing from a seated position,how should the patient's feet be positioned if one is significantly weaker than the other?

A) With the stronger foot posterior to the weaker foot
B) With the weaker foot posterior to the stronger foot
C) They should be positioned level with each other, less than a shoulder width apart
D) They should be positioned level with each other, more than a shoulder width apart

Question 17

What should a caregiver grasp to guard a patient during transfers?

A) The patient's belt
B) The patient's shirt
C) A safety belt or sling
D) The patient's arms

Question 18

Where should the caregiver be positioned during a transfer board transfer?

A) Directly behind the patient
B) Directly in front of the patient
C) Slightly in front and to one side of the patient
D) Slightly behind and to one side of the patient

Question 19

What type of footwear should be used when one is performing a standing transfer?

A) Shoes with smooth leather soles
B) Sandals
C) Slippers
D) Non-skid shoes or socks

Question 20

During an upward movement transfer of a supine patient,how should the patient's lower extremities be positioned?

A) Fully extended on the bed
B) Crossed with one ankle on top of the other
C) With the hips and knees flexed and feet flat on the bed
D) With both hips fully adducted