Deck 12: Vertical Transfers

Question 1

Which of the following is the best wheelchair position for a chair-to-plinth transfer if the patient is going to lie down on the table?

A) The back edge of the chair seat should be near the center of the length of the table.
B) The back edge of the chair seat should be near the upper third of the table.
C) The front edge of the chair seat should be near the center of the length of the table.
D) The front edge of the chair seat should be near the upper third of the table.

Answer 1

C

Question 2

The turnaround into quadruped technique to move from a wheelchair to the floor requires that the patient rise from the seat and turn around before lowering the body to the floor.

Answer 2

True

Question 3

When is it most likely that a step stool will be required for transfers between chairs and plinths?

A) When the patient has a weight-bearing restriction
B) When the patient has weak quadriceps muscles
C) When the patient is 6 ft tall or taller
D) When the table surface is above the patient's gluteal folds

Answer 3

D

Question 4

There are multiple acceptable ways to accomplish a floor-to-chair transfer.

Question 5

Transfers between chair and plinth are a variation of the squat-pivot transfer.

Question 6

Your patient is a 19-year-old woman who has paraplegia secondary to a horseback riding accident. She is preparing to leave rehabilitation, and you are working with her on wheelchair skills. You want to teach her how to transfer from the chair to the floor and back. She does not understand why she should learn this skill. Which of the following is the best explanation to give her?

A) This transfer is good for your upper-body strength.
B) This transfer is good for lower-extremity stretching.
C) This transfer is important for functional independence.
D) This transfer is similar to bathtub transfers.

Question 7

During a floor-to-wheelchair transfer, the casters are positioned forward. Why is this done?

A) To keep the chair from rolling during the transfer
B) To make the chair less likely to tip backward
C) To make the chair less likely to tip forward
D) To position the casters out of the way for the transfer

Question 8

What accommodation is made to ensure safety as patients are learning to perform transfers between chair and floor?

A) A cushioned surface is used to make the maneuver more comfortable.
B) A minimum of two persons are present to assist in the transfer.
C) A transfer device (such as a lift) is used during the initial practice.
D) The patient is provided pads for the hips to cushion any impact.

Question 9

If a step stool is used for transfers between chair and plinth, then it must always be used for the descent from the plinth.

Question 10

A backward lift transfer from the floor into a wheelchair requires which of the following?

A) A soft wheelchair cushion on which to transfer the patient.
B) A wheelchair with a seat that is lower than those of standard wheelchairs.
C) Adequate patient ankle strength and range of motion.
D) Adequate patient shoulder strength and range of motion.

Question 11

Which of the following is the initial position for a turnaround technique to transfer from the floor to a wheelchair?

A) In long-sitting facing away from the chair
B) In quadruped position facing the chair
C) Side-sitting with the strong leg close to the chair
D) Sitting with knees bent facing away from the wheelchair

Question 12

Your patient has been working on transferring from the floor into his wheelchair. He is having great difficulty with the task, primarily because his arms are not very strong. What can you do to make the transfer easier for him?

A) Place a pillow on the floor for him to move onto first.
B) Place a stool beside the wheelchair to give him an additional support surface.
C) Place a stool in front of the wheelchair for him to move onto first.
D) Tip the chair forward to make it easier to reach.

Question 13

Your patient has recently undergone total right knee arthroplasty and is seated on a plinth with both feet resting on a stepstool. How should you instruct your patient to step down off the stepstool and onto the floor?

A) Step down first with the right foot.
B) Step down first with the left foot.
C) It does not matter which foot steps down first.
D) Step down with both feet simultaneously.

Question 14

Your patient is a 78-year-old woman who has had shoulder surgery. She is leaving rehabilitation at the end of the week. She lives alone and has a history of falls, and you need to teach her how to get up from the floor if she should fall at home. Which of the following is most important to consider when determining which strategy to teach her?

A) Whether she wears a personal medical emergency response unit
B) Her blood pressure
C) Whether her home is one or two stories
D) Her strength and range of motion

Question 15

Your patient does not have functional strength in either of his lower extremities. Which of the following is the best way for this patient to begin a transition from the floor to a chair?

A) Half-kneeling, facing away from the chair
B) Half-kneeling, facing the chair
C) Kneeling facing away from the chair
D) Long-sitting, facing away from the chair

Question 16

When assisting your patient during a high transfer such as from chair to plinth, which of the following represent the best contact points for guarding the patient?

A) At the pelvic girdle and thighs
B) At the pelvic girdle and trunk
C) At the shoulder and pelvic girdles
D) At the shoulder and thighs