CCW Mobility & Transfer Techniques 2 — Questions and Answers
Question 1: When assisting a client who uses a walker, the care worker should walk:
- Directly in front of the client to guide them forward
- Slightly behind and to one side of the client (Correct answer)
- Holding the walker alongside the client on one side
- At least three feet behind to give the client independence
Correct answer: Slightly behind and to one side of the client
Walking slightly behind and to one side lets the care worker observe the client's gait, provide support if needed, and intervene quickly if the client begins to fall.
Question 2: Before transferring a client to a wheelchair, the footrests should be:
- Left in the down position to support the client's feet during transfer
- Raised or swung completely out of the transfer path (Correct answer)
- Removed from the wheelchair entirely before every transfer
- Adjusted to the client's leg length before beginning
Correct answer: Raised or swung completely out of the transfer path
Raising or swinging the footrests out of the way prevents the client from tripping over them and provides a clear path during the transfer.
Question 3: A client who has weakness on their left side should hold their cane on which side?
- The left (weaker) side
- The right (stronger) side (Correct answer)
- Either side, depending on the client's comfort
- A cane should not be used with one-sided weakness
Correct answer: The right (stronger) side
The cane is held on the stronger side so it bears weight during the same phase as the weak leg, providing lateral support to the affected side.
Question 4: When pushing a client in a wheelchair down a steep ramp, the care worker should:
- Push the wheelchair forward at a brisk but controlled pace
- Turn the wheelchair around so the client faces backward and descend slowly (Correct answer)
- Ask the client to use their feet on the floor to help brake
- Run alongside the wheelchair while gripping the push handle
Correct answer: Turn the wheelchair around so the client faces backward and descend slowly
Descending a steep ramp backward keeps the care worker in control, prevents the wheelchair from rolling forward uncontrolled, and maintains the client's safety.
Question 5: What is the main reason for locking wheelchair brakes before and during a transfer?
- To meet documentation requirements for the transfer record
- To prevent the wheelchair from rolling and causing a fall (Correct answer)
- To signal to the client that the transfer is about to begin
- To allow the care worker to safely release the gait belt
Correct answer: To prevent the wheelchair from rolling and causing a fall
Locked brakes keep the wheelchair stationary, preventing it from sliding away from the client and significantly reducing fall risk during the transfer.
Question 6: When raising a side rail on a client's bed, it is important to confirm the rail is locked because:
- It provides a grip point the client can use when self-repositioning
- An unlocked rail could collapse under the client's weight and cause injury (Correct answer)
- It reduces noise that could disturb the client during the night shift
- It signals to other staff that the client is stable and does not need monitoring
Correct answer: An unlocked rail could collapse under the client's weight and cause injury
A properly locked side rail prevents the rail from giving way if the client leans against it, eliminating the risk of a fall or crush injury.
Question 7: A care worker is transferring a hemiplegic client (right side paralyzed) from bed to wheelchair. The wheelchair should be positioned:
- At the foot of the bed, directly facing the client
- On the client's right (paralyzed) side at a 45-degree angle
- On the client's left (stronger) side at a 45-degree angle (Correct answer)
- Perpendicular to the bed on whichever side is most convenient
Correct answer: On the client's left (stronger) side at a 45-degree angle
Positioning the wheelchair on the stronger side allows the client to lead the pivot with functional limbs, minimizing weight-bearing on the paralyzed side.
CCW Mobility & Transfer Techniques 2
When assisting a client who uses a walker, the care worker should walk: