Deck 14: Assisting With Moving and Transfers

Question 1

Your patient has dementia. You need to explain what you are going to do before starting a procedure. Which is incorrect?

A) Face the person.
B) Speak slowly and clearly.
C) Give all directions as quick as possible.
D) Divert the person's attention.

Answer 1

Give all directions as quick as possible.

Question 2

To promote mental comfort when handling, moving, and transferring a person, do the following except

A) Explain what you are going to do
B) Do not allow the person to help
C) Screen the person for privacy
D) Cover the person for privacy

Answer 2

Do not allow the person to help

Question 3

Before moving a person in bed, you need the following information from the nurse and the care plan except

A) How to use body mechanics
B) What procedure to use
C) Position limits or restrictions
D) What pillows can be removed before moving the person

Answer 3

How to use body mechanics

Question 4

Friction and shearing can lead to

A) Back injuries
B) Poor posture and body mechanics
C) Infection and pressure ulcers
D) Difficulty breathing

Question 5

When turning, repositioning, or transferring a person, you must

A) Use a transfer belt
B) Use a lift sheet
C) Use a mechanical lift
D) Use your body correctly

Question 6

For safe patient and resident handling, moving, and transfers, the nurse and health team determine the following except

A) The person's dependence level
B) What procedure to use
C) The equipment needed
D) If family is available to help

Question 7

When a resident slides down in bed, the person's skin sticks to the bed while her muscles move down. This is

A) Shearing
B) Friction
C) Ergonomics
D) Logrolling

Question 8

Moving the person from one surface to another is to

A) Transfer
B) Logroll
C) Lift
D) Handle

Question 9

Two surfaces rub together. This is

A) Friction
B) Shearing
C) Ergonomics
D) Pressure

Question 10

Before moving, positioning, or transferring a person, you always need to

A) Explain to the person what you are going to do
B) Apply a transfer belt
C) Ask a co-worker to help you
D) Move the person to the middle of the bed

Question 11

A patient with dementia does not understand what you are doing. The person resists your efforts to move him up in bed. Which action is not helpful?

A) Getting a co-worker to help you
B) Proceeding quickly and firmly
C) Using a calm, pleasant voice
D) Diverting the person's attention

Question 12

You need to move a resident up in bed. To reduce bending and reaching

A) Raise the bed rails
B) Use a transfer belt
C) Raise the bed for body mechanics
D) Lock the bed wheels

Question 13

Older persons have fragile bones and joints. To prevent injury when moving these persons, do the following except

A) Always have help
B) Move the person carefully
C) Keep the person in good alignment
D) Move the person as quickly as possible

Question 14

To prevent work-related injuries, Occupational Safety and Health Administration (OSHA) recommends

A) Working alone whenever possible
B) Holding the person under the arms during transfers
C) Using assist equipment whenever possible
D) Scheduling harder tasks late in the shift

Question 15

A resident is 80 years old. The person weighs 195 pounds and is weak. How many workers are needed to move the person up in bed?

A) Just 1
B) At least 2 and a friction-reducing device
C) At least 3 and a mechanical lift
D) At least 4

Question 16

You can reduce friction and shearing by

A) Using a friction-reducing device
B) Using a transfer belt
C) Positioning the person in Fowler's position
D) Sliding the person

Question 17

A person is turned as a unit, in alignment, with one motion. This is

A) Body mechanics
B) Logrolling
C) Ergonomics
D) Safety

Question 18

Which bed position is most likely to cause shearing?

A) Fowler's position
B) Sims' position
C) The prone position
D) The supine position

Question 19

Good planning before moving or lifting a person in bed involves the following except

A) Deciding how you will move the person
B) Asking a co-worker to help you
C) Planning how to protect drainage tubes
D) Doing necessary recording before you complete the task

Question 20

Before moving a person up in bed, you need to

A) Put non-skid footwear on the person
B) Lock the bed wheels
C) Apply a transfer belt
D) Raise the head of the bed

Question 21

For a bed to wheelchair transfer, the person needs to wear

A) Slippers
B) Socks
C) Panty hose
D) Non-skid footwear

Question 22

A resident has weakness on her left side. You are transferring her from the bed to the wheelchair. Where should you position the wheelchair?

A) Near the head of the bed on her left side
B) Near the head of the bed on her right side
C) At the foot of the bed
D) At the head of the bed

Question 23

Problems with sitting and balance often occur after illness, injury, surgery, and bedrest.

Question 24

To move the person in segments, move the person away from you.

Question 25

When moving a person in segments, which do you move first?

A) The legs and feet
B) The middle of the body
C) The upper part of the body
D) The head

Question 26

To dangle means to

A) Hang in the air
B) Sit on the side of the bed
C) Use a mechanical lift
D) Be transferred to a stretcher

Question 27

A resident is recovering from spinal surgery. You need to turn the person onto her right side. Which procedure is used?

A) Moving the person in segments
B) The method the person likes
C) Logrolling
D) Using a mechanical lift

Question 28

When using an assist device to move a person to the side of the bed, you need at least 1 co-worker to help you.

Question 29

To safely logroll a person, how many workers are needed?

A) Just 1
B) 2 or 3
C) 3 or 4
D) At least 4

Question 30

When logrolling a person, the person is

A) Moved in segments
B) Moved with the spine straight
C) Turned using a transfer belt
D) Turned away from you

Question 31

Logrolling is used to turn the following persons except

A) All children
B) Older persons with arthritic spines
C) Persons with spinal cord injuries
D) Persons recovering from spinal surgery

Question 32

To prevent falls during transfers, wheelchair, bed, shower chair, and stretcher wheels must

A) Be fully inflated
B) Be locked
C) Not squeak
D) Be clean

Question 33

The nurse asks you to transfer a resident to a wheelchair. Before transferring the person, the nurse and care plan tell you the following except

A) What procedure to use
B) Areas of weakness
C) The amount of help the person needs
D) How to protect the person's privacy

Question 34

A resident is 90 years old. The person has arthritis. You need to move the person to the side of the bed. Which method is best?

A) A mechanical lift
B) Moving the person in segments
C) The method the person wants to use
D) The method you are most comfortable with

Question 35

The nurse asks you to dangle a resident. Before you do so, you need the following information except

A) Which side is strong and which side is weak
B) How long the person needs to dangle
C) How to use good body mechanics
D) What exercises the person needs to perform while dangling

Question 36

When transferring a person

A) The person's strong side moves first
B) The person's weak side moves first
C) The side closest to you moves first
D) The person's right side moves first

Question 37

You assist a patient to dangle. Once you get the person to the edge of the mattress, what should you do?

A) Report to the nurse that you have the person dangling.
B) Explain to the person that you will return in ten minutes to check on them.
C) Stay with the person and provide support at all times.
D) Have the person move the legs back and forth and in circles.

Question 38

A stand-pivot transfer is used if

A) The person requests it
B) The person is not able to assist
C) A mechanical lift is not available
D) The person is strong enough, cooperative, and can assist

Question 39

A resident is recovering from spinal surgery. You need to move the person to the side of the bed. Which procedure is the best to use?

A) Moving the person in segments
B) Using an assist device
C) Logrolling
D) Moving the person with the assist of a co-worker

Question 40

Some waterproof pads are used as assist devices. For a safe lift, the incontinence product must

A) Be strong enough to support the person's weight
B) Extend from the person's shoulders to above the knees
C) Be 2 feet wide
D) Be a disposable, single-use underpad

Question 41

You are going to transfer a resident from the wheelchair back to bed. Where should you position the wheelchair?

A) So the person's strong side is near the bed
B) So the person's weak side is near the bed
C) Where it was when the person was transferred from the bed to the wheelchair
D) Wherever the person prefers

Question 42

A patient has slid down in the wheelchair. The person cannot assist with repositioning. To safely reposition the person

A) A mechanical lift is used
B) 1 worker is needed
C) 2 workers and an assist device are needed
D) At least 3 workers are needed

Question 43

A mechanical lift is used to transfer a patient to the wheelchair. Before using the lift, you need to

A) Clean it
B) Read the manufacturer's instructions
C) Apply a transfer belt
D) Apply an assist device

Question 44

A person is heavier than the weight limit of the mechanical lift. What should you do?

A) Tell the nurse.
B) Use the lift.
C) Get another co-worker to help.
D) Allow personal choice. Ask the person what to do.

Question 45

You need to reposition a person in the chair. Which is correct?

A) Position the chair as the person prefers, and lock the wheels according to the care plan.
B) Pull the person up from behind.
C) Ask a co-worker what to do.
D) Ask the person what to do.

Question 46

How many staff members are needed to safely transfer a person using a mechanical lift?

A) Just 1
B) At least 2
C) At least 3
D) At least 4

Question 47

The nursing center has a new mechanical lift. Which statement is correct?

A) If you used the old model, you know how to use the new one.
B) All mechanical lifts are the same.
C) You need to be trained in its use.
D) The new one is safer to use.

Question 48

After the person finishes eliminating, you need to

A) Help with wiping, perineal care, flushing, and hand washing as needed
B) Position the wheelchair in front of the toilet
C) Ask what the person observed about the urine and/or bowel movement
D) Flush the toilet and practice hand hygiene

Question 49

After transferring a person to the toilet, you should

A) Close the bathroom door and stay near the bathroom
B) Close the bathroom door and leave the room
C) Always stay in the bathroom with the person
D) Leave the room

Question 50

A resident has slid down in the wheelchair. The person can follow directions and assist with repositioning. Which action is unsafe?

A) You lock the wheelchair wheels.
B) You position the person's feet flat on the floor.
C) You apply a transfer belt.
D) You pull the person from behind the wheelchair.

Question 51

Persons who need help moving and transferring may feel embarrassed. Which action does not promote pride and independence?

A) Focus on the person's abilities.
B) Encourage the person.
C) Do as much as possible for the person.
D) Tell the person when you notice even small improvement.

Question 52

A transfer belt is not needed to transfer a resident from the bed to a chair. For the transfer, how should you hold onto the person?

A) Have the person put her arms around your waist.
B) Have the person put her arms around your neck.
C) Place your hands under the person's arms and around the person's shoulder blades.
D) Hold the person's weak arm while she supports herself with her strong arm

Question 53

You are using a mechanical lift to transfer a person. Which is incorrect?

A) Explain the procedure before you begin.
B) Show the person how the lift works.
C) Ask a co-worker to help you.
D) Lower the bed to the lowest horizontal position.

Question 54

You are going to transfer a patient from the wheelchair to the toilet. Which statement is incorrect?

A) The person needs a raised toilet seat.
B) The person uses the grab bars by the toilet for support.
C) The wheelchair is positioned in front of the toilet.
D) The wheelchair brakes are locked.