Deck 11: Horizontal Transfers

Question 1

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

A) The belt can always prevent a patient from falling.
B) The belt is used primarily to control the motion of an unstable patient.
C) The belt provides the clinician with leverage to lift the patient effectively.
D) The belt should be used for all seated transfers.

Answer 1

B

Question 2

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

Answer 2

True

Question 3

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?

A) Ask him to repeat the steps back to you before beginning.
B) Demonstrate the proper technique several times to make sure he understands.
C) Show him an illustration of the correct technique before attempting the maneuver.
D) Wait until the following day to attempt the activity.

Answer 3

A

Question 4

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

A) A patient with a bilateral transfemoral amputation
B) A patient who has sustained a cerebrovascular accident
C) A patient with spinal fusion
D) A patient with a total knee replacement

Question 5

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

A) Shifting the patient's weight over the hip opposite the transfer direction
B) Shifting the patient's CoM forward over the pivot point
C) Positioning the patient's BoS anterior to the CoM
D) Positioning the patient's feet posteriorly

Question 6

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?

A) An anteroposterior seated transfer using a sliding board
B) An anteroposterior seated transfer without using a sliding board
C) A lateral seated transfer using a transfer board, moving to his right
D) A lateral seated transfer using a transfer board, moving to his left

Question 7

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?

A) "You can transfer from the wheelchair to the bed with the armrest closest to the bed moved out of the way."
B) "You can transfer from the wheelchair to the bed with the footrests in place."
C) "You can transfer from the wheelchair to the bed while wearing socks."
D) "You do not need to lock the wheels on the wheelchair before transferring to the bed."

Question 8

List two advantages of seated transfers over standing transfers.

Question 9

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

Question 10

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

A) in close contact with the outer foot to create an increased base of support.
B) separated from, but in line with, the outer foot for maximum stability.
C) slightly back to allow maximum liftoff.
D) slightly forward to prevent obstruction.

Question 11

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

A) The chair should be positioned at a distance from the transfer surface equal to the width of the board.
B) The chair should be positioned at an acute angle to the transfer surface.
C) The chair should be positioned facing the transfer surface.
D) The chair should be positioned parallel to the transfer surface.

Question 12

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

A) Under the coccyx
B) Under the ischial tuberosity
C) Under the lower third of the thigh
D) Under the upper third of the thigh

Question 13

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

A) Left hand around the far end of the board for leverage
B) Left hand close to the hips, just under the axilla
C) Left hand open far out enough on the board to allow the hips to move left
D) Left hand through the opening in the board for leverage

Question 14

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

A) Full weight-bearing on the lower extremities
B) Good trunk control
C) Good quadriceps strength
D) Level transfer surfaces

Question 15

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?

A) Have a technician hold up the involved leg during the transfer.
B) Have the patient extend the knee of the involved lower extremity.
C) Leave the involved leg on the wheelchair footrest during the transfer.
D) Tell the patient to hold the foot in the air and put no weight on it.

Question 16

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

A) The transfer board is smooth and will not cause friction on the patient's skin.
B) The transfer board is used for dependent transfers only.
C) The transfer board is used primarily to slide the patient across to the support surface.
D) The transfer board can be used between surfaces of slightly different height.

Question 17

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?

A) Squat-pivot transfer to her left side
B) Squat-pivot transfer to her right side
C) Standing-pivot transfer to her left side
D) Standing-pivot transfer to her right side

Question 18

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

Question 19

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?

A) "Maintain your chin on your chest as I assist you in moving to the chair."
B) "Keep your head in the midline position as I assist you in moving to the chair."
C) "Turn your face to the left as I assist you in moving to the chair."
D) "Turn your face to the right as I assist you in moving to the chair."

Question 20

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?

A) Behind the patient, with one hand on the gait belt and one on the anterior aspect of her shoulder
B) Beside the patient, with one hand on the gait belt and one on the anterior aspect of her shoulder.
C) In front of the patient, with both of her legs blocked by your legs
D) In front of the patient, with one of her knees blocked by your legs