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WorksheetsGait Belt and Patient Transfer Quiz
Total questions: 40
Worksheet time: 20mins
What is the purpose of a transfer (gait) belt?
Decrease patient’s sense of security
Provide extra balance and support
Minimize back pain caused by weak core muscles
Provide a way to grab wandering patients
Which of these patients is clear to use a gait belt?
A pregnant patient
A patient with a chest tube
A patient with a stomach ulcer
A patient with back pain
What must a health care worker do before transferring a patient to a wheelchair?
Make sure the footrests are down and ready to use
Remove the patient’s shoes
Assist the patient to the bathroom
Make sure both wheels are locked
When helping a patient to ambulate, where should the CNA stand?
Behind the patient, holding the transfer belt
To the patient’s unaffected side and in front of the patient
To the patient’s affected side and slightly behind the patient
Directly behind the patient on the affected side
Which of the following is a way to help patients be as independent as possible?
Force a patient to complete a task
Offer as much assistance as possible
Help a patient with a task only if assistance is needed
Get frustrated when a patient asks for help completing a task
What type of tools do patients use to do activities of daily living (ADLs) they otherwise would have trouble doing?
Activity of daily living device
Activities aide
Independence device
Assistive device
After lowering a falling patient to the floor, what should you do?
Leave the patient and get a nurse
Help the patient back to bed
Go find a wheelchair
Stay with the patient and call a nurse
What should a health care worker do if the patient begins to fall?
Help lower the patient to the floor
Step away so they don’t fall on you
Try to hold the patient up
Rush the patient back to their bed/chair
Which level of range of motion assistance is the most assistive?
Active ROM exercises
Active assisted ROM exercises
Passive ROM exercises
Assistive ROM exercises
What is orthostatic hypotension?
Dizziness and blurred vision caused by an increased pulse rate
Sudden drop in blood pressure when changing positions
A dangerous rise in blood pressure due to a neurological condition
Labored respirations caused by lying down for extended periods of time
Which of the following is NOT true of ROM exercises?
Encourage movement beyond the patient’s comfortable ROM
Increases flexibility of muscles and joints
Must be completed according to the patient’s care plan
Do not exercise the patient’s neck unless instructed and permitted to do so
While performing range of motion exercises, the nurse aide notices that the resident's elbow is stiff and will not bend. The nurse aide should
Continue ROM exercises, but move onto another joint
Continue since stiff joints are a normal part of aging
Apply very gentle pressure to try to bend the elbow slightly
Suggest the resident see a physical therapist for the elbow
In what position should the patient be placed just prior to transferring from a bed to a wheelchair?
Fowler’s
Supine
Dangling
Lateral
When assisting patients with ROM exercises, what should the CNA do?
Leave the bed in a raised position
Expose the entire side of the body being exercised
Expose only the body part being exercised
Exercise the body part while covered with a privacy blanket
Which of the following is NOT good body mechanics for transfer procedures?
Bend at the hips and knees
Keep your feet planted and twist at the waist
Provide a wide base of support
Keep the back straight
What is a reduction in the normal movement of a joint?
Full range of motion
Limited range of motion
Active range of motion
Passive range of motion
Mr. Blevin had a stroke, which caused him to lose muscle control in his left arm. You are helping Mr. Blevin remove his shirt for bed. Which arm should you help him remove from the shirt first?
Right
Left
Either one
How should your knees and feet be positioned while transferring a patient?
Toe-to-toe with the patient’s feet
Inside the patient’s knees and feet
Around the patient’s knees and feet
One foot in front of your body and one foot behind your body
Which of the following is true about dressing a patient?
Patients are generally not worried about modesty when staff is helping them dress
Help patients look their best by selecting their clothing for them
Help patients with socks and shoes
When dressing a patient, put clothes on the unaffected side first
What should the health care worker do if a patient shows signs of orthostatic hypotension while sitting in the dangling position?
Help the patient to lie down
Help the patient to stand up
Leave the patient dangling
Call for help
A resident has a contracture of the right arm. When putting on the resident's button-front shirt, the nurse aide should
Put the shirt sleeve on the left arm first, then the right arm
Ask which arm the resident prefers the sleeve to go on first
Put the shirt sleeve on the right arm first, then the left arm
Raise resident's arms up to slide both sleeves on at the same time
How much assistance does a resident receiving passive ROM need from the nurse aide?
Partial assistance with range of motion exercises
Full assistance with the nurse aide taking the joints through exercises
Minimal assistance to just remind the resident when it is time to exercise
Minimal assistance to provide extremity support while the resident moves joints
What type of footwear should a patient wear during a transfer procedure?
Bare feet
Socks
Non-slip shoes
Any well-fitting footwear
Which is an appropriate place for a patient's hands and arms during a transfer procedure?
On your arms
On your shoulders
On your waist
Around your neck
Where should transfer belts be positioned?
Around the chest, over the clothing
Around the waist, against the skin
Around the chest, against the skin
Around the waist, over the clothing
Which of the following best describes how a person affected by Parkinson’s disease typically walks?
They tend to lean back
They tend to walk quickly
They generally walk normally with some shakiness
They shuffle their feet while taking small steps
The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the resident refuses. Which of the following is the best response by the nurse aide?
“Maybe you can plan to walk a little further this afternoon.
The doctor ordered your walking exercise. You really need to try.
You have the right to refuse. Do you want me to tell the nurse?
Would you prefer to walk a little later?
When leaving the resident in the resident's room, what must the nurse aide do before leaving the room?
Turn on the resident's television
Make sure the resident's bedpan is within reach
Place the call light where the resident can reach it
Say to the resident, 'remember that you need help to walk.'
When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques?
Place a gait belt around the resident's waist
Position the chair as close to the bed as possible
Signal the resident to stand by saying, "1, 2, 3, stand"
Follow the transfer technique as described in the care plan
All of the above
A resident who has dementia is usually able to get dressed with some prompting. This morning the resident is more confused and needs more help with all activities of daily living. What should the nurse aide do?
Tell the resident not to feel bad about needing more help today
Provide extra help as needed to avoid the resident becoming frustrated
Ask if the resident would prefer to stay in night clothes for the day
Check if the resident will get dressed for another nurse aide
When moving a resident in bed, a lift or turning sheet may be used to help prevent
Atrophy
Infections
Shearing
Contractures
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nurse aide do?
Consider if the task can be performed another way
Provide the care and perform the task as best as possible
Contact the ombudsman's office since resident's rights may be violated
Refuse to perform the task and explain it is not within the nurse aide's role
A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide?
Assist the resident and report the change to the charge nurse
Understand that these changes are just a normal part of aging
Update the resident's care plan and explain the change to the charge nurse
Encourage independence and suggest the resident try going to the bathroom on her own
A resident has returned from the hospital after a hip replacement. The CNA should expect the resident will be
Dependent and need total care
Confined to bed for several weeks
Going to need a bedpan for toileting
Receiving ROM exercises to the hip
A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning, so the resident's friends are often leaving when the resident gets to the dining room. The nurse aide should
Set out clothing that the resident can dress in more quickly
Dress the resident to make sure the resident gets to breakfast earlier
Ask if there is any help the resident would like in the morning
Remind the resident that the friends will also be at activities later
What conditions are NOT necessary in order to use a transfer belt?
The patient must be able to understand and follow directions
The patient must be physically able to bear weight on the body and to ambulate
The patient must be agitated
The patient must not be too large for one or two health care workers to assist to a standing position
What information do assistants need when helping patients with ambulation?
The areas of injury or weakness
The use of any assistive, orthotic, and prosthetic devices
How much assistance the patient needs and how far to walk the patient
All of the above
What kind of ROM exercises can be done with the knee?
Flexion and extension
Abduction and adduction
Rotation
Inversion, eversion
You undress the patient in the same order that they were dressed.
True
False
If a patient begins to fall, the health care worker should try to prevent it.
True
False
