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Moving and Handling
List of questions
1.
Which one of the following is one of the principles of how to promote health and
wellbeing at work and at home?
Your answer:
Practice postural awareness while moving and handling loads
2.
The risk assessment requires carers to consider ergonomic factors in relation to any
moving and handling manoeuvre. This is commonly captured in the acronym TILEO.
Which one of the following answers correctly describes what each letter stands for?
Your answer:
Task, Individual, Load, Environment, Other factors
3.
The acronym AARR refers to the principles of risk assessment as outlined in the ‘Manual
Handling Operations Regulations 1992 (HSE 2016). What does it stand for?
Your answer:
Avoid, Assess, Reduce, Review
4.
Which one of the following may increase the risk of a moving and handling injury?
Your answer:
Frequently repeated tasks
5.
“Risk assessments eliminate the risk of injury at work”. Is this statement true or false?
Your answer:
False
Risk assessments should reduce the risk of injury to the lowest level reasonably
practical, but may not eliminate the risk of injury at work altogether.
6.
Which one of the following answers correctly describes an appropriate sequence for
approaching a moving and handling task?
Your answer:
Plan the task, assess the load, prepare the area
7.
For prolonged activities, begin with a good posture, as close to the task as possible.
Which of the following strategies minimises strain during a potentially prolonged activity
such as changing a leg ulcer dressing:
Your answer:
Place essential items within easy reach and move regularly
8.
For prolonged activities, begin with a good posture, as close to the task as possible.
Which of the following strategies minimises strain during a potentially prolonged activity
such as carrying a load:
Your answer:
Take a firm grip of the load with both hands and keep it close to your waist. Use your
strong leg muscles and transfer your weight in the direction of the manoeuvre. Plan rest
breaks for longer tasks, and consider using a handling aid
9.
For prolonged activities, begin with a good posture, as close to the task as possible.
Which of the following strategies minimises strain during a potentially prolonged activity
such as a car journey:
Your answer:
The car seat should be adjusted so you can reach the steering wheel and pedals without
stretching
10.
For prolonged activities, begin with a good posture, as close to the task as possible.
Which of the following strategies minimises strain during a potentially prolonged activity
such as working on a desktop computer:
Your answer:
Adjust the chair so you don’t have to bend your neck forwards or backwards and your
forearms are placed parallel to the floor
11.
“When working at low levels (such as on the floor) you may need to crouch or kneel.
Take care to get close to the load, take a firm, comfortable grip and avoid twisting your
spine during the activity”. Is this statement true or false?
Your answer:
True
12.
“When lying down, your spine should be S-shaped when lying on your side”. Is this
statement true or false?
Your answer:
False
Ideally, your spine should be straight when lying on your side. Incorrect curvature of the
spine will occur if the bed is too soft or if the pillow does not support your head.
13.
Which one of the following best describes how to practise a good standing posture?
Your answer:
Stretch the crown of your head upwards, keep your shoulder blades back and down. Pull
your tummy in and pull up your pelvic floor muscles
14.
Which one of the following strategies may help reduce the cumulative effects of
prolonged or repetitive activities at home or at work?
Your answer:
Stretching your working muscles and moving around regularly
15.
“Back pain is usually a sign of a serious injury”. Is this statement true or false?
Your answer:
False
Back pain is common and rarely serious. It usually occurs when one or more of the
structures in the back are injured.
16.
The lumbar spine takes all the weight of the upper body so it is important to avoid being
overweight. Which one of the following is commonly used in the NHS to assess weight?
Your answer:
BMI
17.
Which one of the following answers correctly describes a list of conditions that may all
arise as a result of straining too much to move a load:
Your answer:
Hernias, prolapses and haemorrhoids
18.
What form needs to be completed following an injury at work?
Your answer:
An accident or incident form
19.
The muscles of the back work with tendons, joints, discs and ligaments to allow a large
range of movement. Which one of the following structures act like ‘shock absorbers’?
Your answer:
Intervertebral discs
20.
“The spine is at its strongest when it is loaded from above and weakest when rotated”. Is
this statement true or false?
Your answer:
True
21.
How many bones (vertebrae), including ‘fused bones’ does the spinal column contain?
Your answer:
33
22.
In a standing position, the spine forms natural curves that give it strength and flexibility.
How many curves are present in this position?
Your answer:
3
23.
Which of the following answers correctly lists the order of the spinal column vertebrae,
from the head down?
Your answer:
Cervical vertebrae, thoracic vertebrae, lumbar vertebrae, sacrum, coccyx
24.
Which one of the following parts of the spine has the most vertebrae?
Your answer:
Thoracic spine
25.
Where in the spinal column are the smallest vertebrae?
Your answer:
Cervical vertebrae
26.
Where in the spinal column are the largest vertebrae?
Your answer:
Lumbar spine
27.
“The spinal cord is protected by the vertebrae”. Is this statement true or false?
Your answer:
True
28.
Which one of the following should prompt you to seek medical advice?
Your answer:
Prolonged pain, in combination with pins and needles, numbness or muscle weakness
29.
“Back pain is usually a sign of a serious injury”. Is this statement true or false?
Your answer:
False
Back pain is common and rarely serious. It usually occurs when one or more of the
structures in the back are injured.
30.
The lumbar spine takes all the weight of the upper body so it is important to avoid being
overweight. Which one of the following is commonly used in the NHS to assess weight?
Your answer:
BMI
31.
Which one of the following answers correctly describes a list of conditions that may all
arise as a result of straining too much to move a load:
Your answer:
Hernias, prolapses and haemorrhoids
32.
What form needs to be completed following an injury at work?
Your answer:
An accident or incident form
33.
The muscles of the back work with tendons, joints, discs and ligaments to allow a large
range of movement. Which one of the following structures act like ‘shock absorbers’?
Your answer:
Intervertebral discs
34.
“The spine is at its strongest when it is loaded from above and weakest when rotated”. Is
this statement true or false?
Your answer:
True
35.
How many bones (vertebrae), including ‘fused bones’ does the spinal column contain?
Your answer:
33
36.
In a standing position, the spine forms natural curves that give it strength and flexibility.
How many curves are present in this position?
Your answer:
3
37.
Which of the following answers correctly lists the order of the spinal column vertebrae,
from the head down?
Your answer:
Cervical vertebrae, thoracic vertebrae, lumbar vertebrae, sacrum, coccyx
38.
Which one of the following parts of the spine has the most vertebrae?
Your answer:
Thoracic spine
39.
Where in the spinal column are the smallest vertebrae?
Your answer:
Cervical vertebrae
40.
Where in the spinal column are the largest vertebrae?
Your answer:
Lumbar spine
41.
“The spinal cord is protected by the vertebrae”. Is this statement true or false?
Your answer:
True
42.
Which one of the following should prompt you to seek medical advice?
Your answer:
Prolonged pain, in combination with pins and needles, numbness or muscle weakness
43.
All carers have a responsibility to follow the four steps of risk assessment for their own
safety, referred to in the acronym AARR. The first ‘A’ stands for ‘Avoid’. What is it that
should be avoided?
Your answer:
Hazardous moving and handling
44.
All carers have a responsibility to follow the four steps of risk assessment for their own
safety, referred to in the acronym AARR. The second ‘A’ stands for Assess. What is it
that should be assessed?
Your answer:
Any hazards associated with the manoeuvre
45.
All carers have a responsibility to follow the four steps of risk assessment for their own
safety, referred to in the acronym AARR. The first ‘R’ stands for Reduce. What is it that
should be reduced?
Your answer:
Any risk
46.
All carers have a responsibility to follow the four steps of risk assessment for their own
safety, referred to in the acronym AARR. The second ‘R’ stands for Review. What is it
that should be reviewed?
Your answer:
The assessment
47.
“The risk assessment should be recorded for all hazardous handling”. Is this statement
true or false?
Your answer:
True
48.
When considering the ‘task’ as part of the TILEO risk assessment, which one of the
following factors do you also need to consider, in relation to the carers/individuals
involved in the task?
Your answer:
If any extra training is required
49.
Which one of the following factors, in relation to any individuals involved in a moving and
handling manoeuvre, would require regular updating of the risk assessment?
Your answer:
Colleagues who are pregnant
50.
When examining the load as part of the TILEO risk assessment, which one of the
following statements is correct:
Your answer:
Seek help if the load is large and you will not be able to see where you are going
51.
Which one of the following situations requires a more detailed risk assessment to be
documented, according to the ‘risk assessment filter for handling loads according to the
position of the load’?
Your answer:
If the load is heavier than 3 kg for women/5 kg for men and if the organisation employs
more than 5 people
52.
“An individual can safely move a heavy load by holding this above shoulder height,
compared to holding a heavy load close to the body at hip height”. Is this statement true
or false?
Your answer:
False
When carrying a load, it needs to be kept close to the waist with arms close to the sides.
A woman can safely carry a load of 10 kg at hip height, for example, but can only safely
carry a load of 3 kg at shoulder height.
53.
“A risk assessment needs to be performed and documented for any person who requires
assistance with movement and for all carers who are performing the manoeuvre”. Is this
statement true or false?
Your answer:
True
54.
When considering the ‘task’ as part of the TILEO risk assessment, which one of the
following factors do you also need to consider, in relation to the person to be moved?
Your answer:
The mobility goal for the person
55.
In relation to the ‘principles of risk assessment for moving a person’, which one of the
following answers best fits the definition of a load?
Your answer:
The person to be moved plus any equipment being used
56.
Which one of the following answers correctly describes the test or tests you should
perform to assess mobility before moving a person?
Your answer:
An arm- and leg-strength test and a trunk-control test
57.
“When mobilising a person, give guidance in small stages. For example, ask them to
move forward to the edge of their chair before asking them to stand.” Is this statement
true or false?
Your answer:
True
58.
“When assisting a person to mobilise, their physical ability and their ability to follow
instructions are unlikely to change during the task provided the risk assessment has
been done in advance”. Is this statement true or false?
Your answer:
False
The person’s physical ability and their ability to follow instructions may change during the
task so carers need to be ready for a sudden collapse or unpredictable behaviour.
59.
Which one of the following normally poses the highest risk to carers?
Your answer:
A person who needs hoisting
60.
Which one of the following answers lists items that are all normally included in a ‘person-
handling plan’?
Your answer:
The task to be performed, the number of staff needed, equipment details, method and
special instructions for the task
61.
When attempting to do a manually assisted stand and walk, which one of the following
groups would be suitable?
Your answer:
People who can bear weight fully on at least one leg
62.
“When attempting to manually assist a person to stand and walk, the carers balance
most of the person’s weight.” Is this statement true or false?
Your answer:
False
This procedure is only suitable for people who can bear weight fully on at least one leg.
The contribution of carers should be minimal.
63.
Which one of the following may be the most suitable aid for patients in the early stages
of rehabilitation?
Your answer:
A standing/walking hoist
64.
Which one of the following answers correctly describes what you should do to assess for
one-sided weakness before helping a person to stand up?
Your answer:
Check the person’s ability to raise their arms and legs
65.
“When only one carer is required to help a person with a one-sided weakness to stand,
the carer should stand on the person’s stronger side”. Is this statement true or false?
Your answer:
False
If only a single carer is required, the carer should stand on the person’s weaker side.
66.
Which one of the following should be avoided when supporting a person to stand?
Your answer:
The carer interlocking their fingers with the person’s fingers
67.
“When assisting a person to stand, a carer may adopt a palm-to-palm hold in which both
the carer and the person keep their thumbs close to their fingers so carers can release
themselves from the person’s grip”. Is this statement true or false?
Your answer:
True
68.
Which one of the following answers describes actions that are all part of a mobility
assessment, before assisting a person to stand up?
Your answer:
Assessing the person’s ability to balance unsupported when sitting, testing muscle
strength and evaluating coordination in arms and legs
69.
Before standing up from sitting, which one of the following answers correctly describes
the first move the person can do to help?
Your answer:
Shuffle forwards, to the front edge of the chair
70.
Which one of the following is the recommended feet position for a person about to stand
up from a chair?
Your answer:
A shoulders-width apart in a step stance (one foot in front of the other)
71.
“If a person uses a walking aid, when standing up they should take hold of it before
standing up”. Is this statement true or false?
Your answer:
False
The walking aid should be close to hand but the person should only take hold of it when
they are up on their feet.
72.
Which one of the following answers describes the correct approach for two carers
helping a seated person to stand up?
Your answer:
The carers should stand either side of the seated person in a walk-stand position. Ask
the person to hold onto the arms of the chair and lean forward
73.
Which one of the following answers describes is the correct approach for two carers
helping a seated person to stand up?
Your answer:
Both carers have their body weight on their back feet, shoulders relaxed, tummy and
pelvic floor muscles braced. The carers’ arms cross over the person’s back and they
place their other hand in front of the person’s shoulder
74.
When a person stands up from a sitting position with assistance, which one of the
following answers describes the recommended position for their hands?
Your answer:
The person should push off from the chair with both hands
75.
Which one of the following answers describes is the correct approach for two carers
helping a standing person to sit down?
Your answer:
Encourage the person to reach for the arm rests or surface of the seat, and to push their
buttocks out. Ask them to slowly lower into the chair on the command ‘ready, steady, sit’
76.
Which one of the following approaches is appropriate when helping a seated person to
stand up from a profiling bed?
Your answer:
Ask the person to shuffle to the edge of the bed and position both feet on the floor.
Raise the bed with the remote control as the person leans forward and pushes down on
the bed with their hands
77.
Which of the following answers lists items that are all aids to help a person who needs a
manually assisted stand and walk?
Your answer:
A handling belt, stick, crutches, wheeled frame
78.
“A person who is learning how to use a walking aid may need to be fitted with a handling
belt.” Is this statement true or false?
Your answer:
True
79.
A therapist has selected and set up the most appropriate walking aid for someone who
needs manual assistance with standing and walking. The therapist has also chosen a
suitable gait pattern for them. What additional safety measure is appropriate in case the
patient tires while walking?
Your answer:
A chair should be available nearby or another carer could follow behind with a
wheelchair
80.
Which two of the following statements is true about handling belts?
Your answer(s):
They should fit snugly and not be too loose
They should avoid wounds and not obstruct any attachments
81.
“When one carer is manually assisting a person with a one-sided weakness to walk with
a handling belt, the carer should stand on their unaffected side and grasp one handle of
the belt.” Is this statement true or false?
Your answer:
False
If you are the only carer, stand on the affected side of the person and grasp one handle
of the belt (the one on the far side)
82.
“When one carer is manually assisting a person with a one-sided weakness to walk with
a handling belt, the carer should stand on their unaffected side and grasp one handle of
the belt.” Is this statement true or false?
Your answer:
False
If you are the only carer, stand on the affected side of the person and grasp one handle
of the belt (the one on the far side)
83.
“Several hand-hold positions are possible when manually assisting a person to walk with
a handling belt.” Is this statement true or false?
Your answer:
True
84.
With respect to adjusting a stick, crutch or walking frame to a person, is the following
statement true or false? “The handle of the stick, crutch or walking frame should be at
the level of the person’s wrist crease, when the elbow is flexed approximately 15
degrees.”
Your answer:
True
85.
With respect to adjusting a stick, crutch or walking frame to a person, is the following
statement true or false? “The arm support of a crutch should be above the person’s
elbow.”
Your answer:
False
The statement is false. The arm support of a crutch should be below the person’s elbow.
86.
Which one of the following statements is correct about a person using one stick with the
assistance of one carer?
Your answer:
The stick should be held in the opposite hand to the weak/affected leg, with the carer
standing on the side of the weak/affected leg
87.
Is the following statement true or false? “Unlike standard frames, wheeled walking
frames encourage the use of a normal walking pattern.”
Your answer:
True
88.
“When assisting a person to stand from a chair, ask them to pull themselves up using
the walking frame while you stabilise the frame by placing your feet on it”. Is this
statement true or false?
Your answer:
False
When assisting a person to stand from a chair, do not allow them to pull themselves up
using the frame, and never try to stabilise the frame by placing your feet on it as this can
damage the frame.
89.
What is the purpose of a wheeled frame with poles?
Your answer:
To provide extra support to assist standing from a sitting position and vice versa
90.
“You should not attempt to assist a person up and down stairs or steps unless a
therapist has assessed them and informed you how to move them safely.” Is this
statement true or false?
Your answer:
True
91.
“When ascending stairs with the help of crutches, the person should lead with the
unaffected ‘good’ leg, when descending stairs, they should lead with the affected ‘bad’
leg.”
Your answer:
True
92.
“When using a stand-and-turn aid the person needs to have good upper body strength
and standing balance.” Is this statement true or false?
Your answer:
False
Correct answer:
True
93.
Which one of the following must be checked before doing a stand and transfer using a
stand-turn-and-move aid?
Your answer:
The person’s leg strength
94.
Before doing a stand and transfer using a stand-turn-and-move aid, it is important to
check the height of the leg support. Which one of the following answers describes the
correct method?
Your answer:
Adjust the height of the leg supports against the person’s knees while they are still
seated. There should be a gap of two fingers’ width between the lower edge of the
person’s knee caps and the top edges of the leg supports of the aid (
95.
“A transfer board is a rigid board that is used to bridge the gap between two surfaces so
that someone can slide from one to the other—for example, from a chair to a wheelchair
or into and out of a car.” Is this statement true or false?
Your answer:
True
96.
“Before using a transfer board, ensure it is clean. Check the maximum working load of
the board and that it is not cracked or damaged”. Is this statement true or false?
Your answer:
True
97.
Which one of the following situations best supports a person getting out of bed from a
sitting position?
Your answer:
Adjust the bed height so that the person can position their feet firmly on the floor when
seated on the edge of the bed, before attempting to get out
98.
When someone is getting out of bed from sitting using normal movement, it can be
helpful to insert a small tubular slide sheet under their buttocks before they rotate to
move their legs over the side of the bed. Which one of the following answers best
explains why this is helpful?
Your answer:
It can reduce friction and shearing of the skin
99.
Which one of the following statements about fabric turntables is true?
Your answer:
They can promote independence, but for successful use, the person must be motivated
and capable of using the aid confidently and safely
100.
In relation to fabric turntables, which one of the following statements is correct?
Your answer:
The turntable reduces the risk of the person sustaining skin damage during turning
movements while sitting, by reducing friction and shearing forces
101.
A person may prefer to use the bed-end to provide support for standing when getting out
of bed. Which one of the following moving and handling aids is most suitable to help with
this?
Your answer:
A straight transfer board
102.
Which one of the following statements is correct about straight transfer boards?
Your answer:
It can be placed on the edge of the bed to provide a firm surface to move along, by
preventing the person from sinking into the mattress
Never place a slide sheet underneath a transfer board on a bed as this would make it
likely to slip off the bed when the person sits on it.
103.
Which one of the following statements is correct in relation to getting a person into bed
using a tubular slide sheet?
Your answer:
Place the slide sheet onto the bed, ensuring that it is about 10 cm from the edge, on the
side that the person will be getting into
The bed should be adjusted to a suitable height—this means that the person can put
their feet flat on the floor. Use of a non-slip mat will allow them to push down with their
feet without fear of slipping.
104.
After a person has been helped into bed with use of a tubular slide sheet, the slide sheet
must be removed. Which one of the following answers describes the correct method for
removing it, once the person is in the preferred position in the bed?
Your answer:
If working on the person’s right side, slide your left hand between the two layers of the
slide sheet and grasp the bottom layer on the side furthest away from you. Gently pull it
out diagonally towards the bed-head
105.
With regard to supporting a person to get into and out of bed, which one of the following
statements is correct?
Your answer:
Where the person getting out of bed has one leg stronger than the other, they should
position their stronger leg at the front when rising, to power themselves up
Correct answer:
Where the person getting out of bed has one leg stronger than the other, they should
position their stronger leg at the back when rising, to power themselves up
106.
Which one of the following statements is correct?
Your answer:
An electric profiling bed can be useful to assist a person to stand from a seated position
107.
Which one of the following situations best supports a person getting out of bed from a
sitting position?
Your answer:
Adjust the bed height so that the person can position their feet firmly on the floor when
seated on the edge of the bed, before attempting to get out
108.
When someone is getting out of bed from sitting using normal movement, it can be
helpful to insert a small tubular slide sheet under their buttocks before they rotate to
move their legs over the side of the bed. Which one of the following answers best
explains why this is helpful?
Your answer:
It can reduce friction and shearing of the skin
109.
Which one of the following statements about fabric turntables is true?
Your answer:
They can promote independence, but for successful use, the person must be motivated
and capable of using the aid confidently and safely
110.
In relation to fabric turntables, which one of the following statements is correct?
Your answer:
The turntable reduces the risk of the person sustaining skin damage during turning
movements while sitting, by reducing friction and shearing forces
111.
A person may prefer to use the bed-end to provide support for standing when getting out
of bed. Which one of the following moving and handling aids is most suitable to help with
this?
Your answer:
A straight transfer board
112.
Which one of the following statements is correct about straight transfer boards?
Your answer:
It can be placed on the edge of the bed to provide a firm surface to move along, by
preventing the person from sinking into the mattress
Never place a slide sheet underneath a transfer board on a bed as this would make it
likely to slip off the bed when the person sits on it.
113.
Which one of the following statements is correct in relation to getting a person into bed
using a tubular slide sheet?
Your answer:
Place the slide sheet onto the bed, ensuring that it is about 10 cm from the edge, on the
side that the person will be getting into
The bed should be adjusted to a suitable height—this means that the person can put
their feet flat on the floor. Use of a non-slip mat will allow them to push down with their
feet without fear of slipping.
114.
After a person has been helped into bed with use of a tubular slide sheet, the slide sheet
must be removed. Which one of the following answers describes the correct method for
removing it, once the person is in the preferred position in the bed?
Your answer:
If working on the person’s right side, slide your left hand between the two layers of the
slide sheet and grasp the bottom layer on the side furthest away from you. Gently pull it
out diagonally towards the bed-head
115.
With regard to supporting a person to get into and out of bed, which one of the following
statements is correct?
Your answer:
Where the person getting out of bed has one leg stronger than the other, they should
position their stronger leg at the back when rising, to power themselves up
116.
Which one of the following statements is correct?
Your answer:
An electric profiling bed can be useful to assist a person to stand from a seated position
117.
“If a person is unable to sit independently and requires assistance with their movements,
they should be nursed on a profiling bed.” Is this statement true or false?
Your answer:
True
118.
Which one of the following statements is correct?
Your answer:
When encouraging a person to move in bed, carers should follow the principles of
normal body movement patterns
119.
Which one of the following answers correctly describes the normal movement pattern of
a person rolling over in bed in a lying position onto their right side?
Your answer:
They first bend one or both knees, until one or both soles are on the bed. They reach
across their body with their left arm. They turn their head to the right and allow the
weight of their bent legs to turn them onto their right side
120.
“Slide sheets are commonly inserted by using the ‘unravelling’ method, without rolling
the person in bed”. Is this statement true or false?
Your answer:
False
The unravelling method is most useful when it is difficult to roll the person and when
assisting a plus-size person.
121.
Slide sheets should be long enough to reach from the person’s head to their heels.
Why?
Your answer:
To protect all body parts from friction
122.
Which one of the following is the correct method for removing a tubular slide sheet?
Your answer:
Pass your hand between the two layers of the tubular slide sheet, under the person’s
knees. Grasp the far edge of the lower layer of the slide sheet. Slowly pull the sheet from
beneath the person
123.
“A person who is able to sit unsupported and has sufficient strength in both legs and
arms can be encouraged to move themselves up the bed using a small slide sheet or
hand blocks.” Is this statement true or false?
Your answer:
True
124.
“When you are about to slide a person up the bed, while standing at the head-end of the
bed, you should consider removing the headboard”. Is this statement true or false?
Your answer:
True
125.
“In preparation for sliding a person up in bed, the head of the bed should always be tilted
down to assist with this movement”. Is this statement true or false?
Your answer:
False
Although using the tilting facility of the bed may assist with this movement, it will be
important for the carers to assess the clinical condition of the person before tilting them
head down.
126.
Which one of the following answers describes the correct procedure for sliding a person
up in bed, with both carers standing at the head-end of the bed (behind the bed)?
Your answer:
The carers stand in a step stance, with their weight on their front feet. They take hold of
the slide sheet on each side. Using an agreed command both carers transfer their
weight onto their back feet
127.
“When using slide sheets to move a person up in bed, it is better to do this in several
short moves rather than one big transfer”. Is this statement true or false?
Your answer:
True
128.
When transferring an unconscious person from a theatre trolley to a bed, which of the
carers involved is best placed to coordinate the move?
Your answer:
The carer standing at the head-end of the trolley/bed
129.
“When transferring a person in a supine position from a bed to a bed, always position
the receiving bed at the same height than the bed the person is moved from”. Is this
statement true or false?
Your answer:
False
The move is easier when the receiving surface is slightly lower than the starting surface.
130.
Which one of the following conditions would require extra consideration when
transferring a person in supine position from a bed to another bed?
Your answer:
A suspected spinal injury
131.
Large transfer boards are typically used to:
Your answer:
Move a person in a supine position from a bed to a trolley or from a bed to a bed
132.
“Transfer boards do not normally have a maximum weight limit”. Is this statement true or
false?
Your answer:
False
As part of the assessment before moving a person, ensure that the person is within the
maximum weight limit of the transfer board
133.
“When transferring a person in a supine position from a bed to a bed, always ensure that
the person’s head is on the large transfer board before sliding them across to the
receiving surface”. Is this statement true or false?
Your answer:
True
134.
With respect to slide sheets, which one of the following statements is correct?
Your answer:
They are designed to reduce friction and protect the person’s skin
135.
In relation to falls, which one of the following statements is correct?
Your answer:
It is important to distinguish between a simple fall and a collapse
136.
In relation to the definition of a simple fall, which one of the following statements is
correct?
Your answer:
A simple fall is one resulting from a chronic impairment of cognition, vision, balance or
mobility
137.
In relation to the definition of a collapse, which one of the following statements is
correct?
Your answer:
A collapse is a fall resulting from an acute medical problem such as an acute arrhythmia
or transient ischaemic attack
138.
Post-fall syndrome can be described as including an increase in dependence, loss of
autonomy, confusion, immobilisation and depression, leading to a further restriction in
daily activities. Is this statement true or false?
Your answer:
True
139.
“A history of falls in the past year remains the single most important risk factor for falls
and is a predictor of further falls.” Is this statement true or false?
Your answer:
True
140.
In relation to assisting a falling person to the floor, which one of the following statements
is correct?
Your answer:
This is a high-risk activity
141.
As soon as you are aware that the person you are assisting is starting to fall, what is the
best next step?
Your answer:
Release your supporting hand-hold and step backwards
142.
“Assisting a falling person is riskier when the person is resisting or there is a significant
height or weight difference between the person and the carer”. Is this statement true or
false?
Your answer:
True
143.
“When guiding a falling person to the floor, the carer’s priority is to protect the person’s
spine in the first instance”. Is this statement true or false?
Your answer:
False
When guiding the falling person to the floor, the carer will aim to protect the person’s
head as much as possible.
144.
Which one of the following needs to be checked first, before assisting a person who has
fallen to the floor?
Your answer:
The environment
145.
“A fallen person should not be moved until a suitably qualified person has carried out an
assessment of any injury incurred and their medical condition”. Is this statement true or
false?
Your answer:
True
146.
Which one of the following lists includes factors that are all typical reasons for why a
person may fall?
Your answer:
Fainting, seizure, drop in blood pressure
147.
Which one of the following methods is most appropriate to help a fallen person to get up
off the floor when no injury has been sustained and the person has the ability to raise
themselves?
Your answer:
Assisting with one or two chairs
148.
“When assisting a fallen wheelchair user with good upper body strength to get up from
the floor, it may be possible to help the person to sit on a small stool before they move
back to the wheelchair”. Is this statement true or false?
Your answer:
True
149.
“When someone has fallen in a confined space, moving them using slide sheets should
never be attempted”. Is this statement true or false?
Your answer:
True
Correct answer:
False
When someone has fallen in a confined space, it is possible to use slide sheets to
extricate them safely. Always ensure the environment is safe before approaching the
person, and follow local protocol for managing airway, breathing and circulation.
150.
Which one of the following statements is correct about managing a person who has
fallen in a confined space?
Your answer:
If the person is in a reduced state of consciousness, for example following a seizure,
maintaining an effective airway takes priority
151.
Which one of the following statements is correct about the use of an air cushion to assist
a fallen person?
Your answer:
Air cushions are easily transportable and can be used in small spaces
152.
“If the assessment of a fallen person shows that they cannot sit unaided or maintain an
upright position without assistance, carers may use slide sheets to position them onto an
air cushion system with built-in back support”. Is this statement true or false?
Your answer:
True
153.
“Powered air mattress systems are typically used when recovering a person from the
floor in a community setting”. Is this statement true or false?
Your answer:
False
Powered air mattress systems are most commonly seen in hospitals
154.
Which one of the following statements is correct about powered air mattress systems,
which are typically used to recover a person who has sustained a serious injury?
Your answer:
CPR can be performed on the inflated base mattress, with the top mattress deflated
Powered air mattresses may be used to recover a person who has sustained (or is
suspected of having sustained) a serious injury. If the person has a suspected spinal
injury, a powered air mattress can be used in conjunction with stabilisation and
immobilisation equipment, provided trained carers are available who have the relevant
knowledge and competence.
155.
“Powered air mattress systems consist of a base mattress and a top mattress. The top
mattress needs to be inflated when sliding the person over the base mattress, for
example when moving from the floor onto the base mattress”. Is this statement true or
false?
Your answer:
True
156.
Following a fall, a hoist recovery is possible when there is sufficient space around the
fallen person. Is this statement true or false?
Your answer:
True
157.
“When inserting a hoist sling under a person in bed, the sandwich method is ideal to
ensure minimal movement, for example when the person is likely to experience pain
because of movement”. Is this statement true or false?
Your answer:
True
158.
Which one of the following best describes the ‘sandwich technique’, used when inserting
a hoist sling in the chair?
Your answer:
Inserting a pair of slide sheets behind the person to make it easier to insert the sling
159.
In relation to removing a sling from a person in a chair, which one of the following
statements is true:
Your answer:
If the carer kneels in front of the person, they can put their foot on the carer’s thigh to lift
their leg away from the seat in order to make it easier to remove the sling
160.
“When transferring a person from the chair to the bed using a clip hoist, ensure that the
hoist’s brakes are on, just before raising the person up from the chair.” Is this statement
true or false?
Your answer:
False
The hoist’s brakes need to be off when raising the person up from the chair
161.
It is good practice to place a slide sheet under the person’s heels, before hoisting the
person from the bed to the chair. What is the main reason for doing this?
Your answer:
To prevent shearing of the skin
162.
Which one of the following descriptions best fits a standing (active) hoist?
Your answer:
It has a foot plate on which the person stands, assisted by a sling around their waist
attached to the spreader bar
163.
Which one of the following people are most suited for use of a standing hoist?
Your answer:
A person who is able to cooperate, has sufficient trunk control and standing balance
164.
Which one of the following statements best describes the correct preparation for helping
a person in a chair to stand with a standing hoist?
Your answer:
With the hoist in front of the person, they should place their feet on the foot plate of the
hoist and the knee pads of the hoist should be adjusted to sit just below their patellae
165.
With respect to hoists, which one of the following statements is correct?
Your answer:
Hoists can be used for transferring people, assisting them to stand and promoting
rehabilitation
166.
How often should hoists and slings be formally inspected?
Your answer:
Every 6 months and the date of the next inspection should be marked on the hoist
167.
In relation to hoists, which one of the following statements is correct?
Your answer:
When using passive mobile hoists, the brakes must not be used during the lifting or
lowering of the person. The hoist needs to be able to move slightly towards the person
when lifting and slightly away from them when lowering
168.
In relation to manually assisting a person to stand from a low bed aided by two carers
(as a short term-solution), which one of the following statements is correct?
Your answer:
Before beginning, check the safe working load of the bed because it will need to take the
weight of three people
169.
Which one of the following answers describes an acceptable short-term solution for two
carers manually assisting a person to stand from a low bed?
Your answer:
The carers sit on the bed on either side of the person and, using their hands furthest
away from the person, reach in front of the person’s arms and grasp the belt handle
nearest to them
170.
When one carer is manually assisting a person to get out of bed which one of the
following answers best describes the minimum ability of the person being assisted?
Your answer:
A person with a one-sided weakness who can sit independently and is able to participate
actively
171.
Which one of the following is a common person-related risk to look out for in the early
stages of rehabilitation?
Your answer:
Postural hypotension
172.
Which one of the following answers best describes the correct method for manually
assisting a person out of bed, aided by two carers?
Your answer:
The main carer (in front of the person) places one hand beneath the person’s lower
shoulder and one on their uppermost hip. The assisting carer (supporting the person’s
back from the other side of the bed) places a hand beneath the person’s lower shoulder
173.
Which one of the following answers describes an appropriate short-term measure for
assisting a person from lying to sitting in a bed?
Your answer:
A bed ladder to allow the person to sit themselves forwards
174.
Which one of the following activities carries the highest risk of injury to carers?
Your answer:
Sitting a person up on a trolley or bed
175.
In relation to using a bed ladder for sitting up in bed, which one of the following
statements is correct?
Your answer:
Always check that the bed ladder is put away and not able to fall on the floor
176.
With respect to using an elbow-to-elbow hold to assist a person to sit up, which one of
the following statements is correct?
Your answer:
This manoeuvre may be necessary for tasks such as inserting a radiography plate
behind a person on a trolley
177.
Which one of the following answers correctly describes the elbow-to-elbow hold used by
two carers assisting a person to sit up?
Your answer:
Each carer slides their hand closest to the person along the inner aspect of the person’s
arm and beneath their elbow, with the thumbs behind the elbow of the person
178.
In relation to using a handling sling and two carers to assist someone to sit up on a low
bed, which one of the following statements is correct?
Your answer:
Carers may find it difficult to perform this activity as it places strain on their knees
179.
In relation to using a tubular slide sheet to move a person up a low bed, which one of the
following statements is correct?
Your answer:
The tubular slide sheet must reach from the person’s head to their heels
180.
Which one of the following answers describes a list of options that are all suitable for
moving a person up a low bed, once the tubular slide sheet is in place under the
person?
Your answer:
Both carers kneel on the bed and use two arms; both carers kneel on the bed and use
one arm; both carers stand beside the bed and use one arm
181.
Which one of the following is correct in relation to lifting a person off the floor?
Your answer:
The carers should start in a half-kneeling position or in a semi-squat position, ensuring
that they keep their spines upright
182.
Which one of the following answers correctly describes why the ‘drag hold’ should not be
used to assist a person with walking?
Your answer:
Should the person fall, the carers would find it difficult to disengage and are therefore at
risk of injury
183.
Which one of the following statements is correct?
Your answer:
The cradle lift (orthodox lift) and the Australian lift (shoulder lift) are potentially damaging
for the carer and the person being moved

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Quiz.docx

  • 1. Moving and Handling List of questions 1. Which one of the following is one of the principles of how to promote health and wellbeing at work and at home? Your answer: Practice postural awareness while moving and handling loads 2. The risk assessment requires carers to consider ergonomic factors in relation to any moving and handling manoeuvre. This is commonly captured in the acronym TILEO. Which one of the following answers correctly describes what each letter stands for? Your answer: Task, Individual, Load, Environment, Other factors 3. The acronym AARR refers to the principles of risk assessment as outlined in the ‘Manual Handling Operations Regulations 1992 (HSE 2016). What does it stand for? Your answer: Avoid, Assess, Reduce, Review 4. Which one of the following may increase the risk of a moving and handling injury? Your answer: Frequently repeated tasks 5. “Risk assessments eliminate the risk of injury at work”. Is this statement true or false? Your answer: False Risk assessments should reduce the risk of injury to the lowest level reasonably practical, but may not eliminate the risk of injury at work altogether. 6. Which one of the following answers correctly describes an appropriate sequence for approaching a moving and handling task? Your answer: Plan the task, assess the load, prepare the area 7. For prolonged activities, begin with a good posture, as close to the task as possible. Which of the following strategies minimises strain during a potentially prolonged activity such as changing a leg ulcer dressing: Your answer: Place essential items within easy reach and move regularly 8. For prolonged activities, begin with a good posture, as close to the task as possible. Which of the following strategies minimises strain during a potentially prolonged activity such as carrying a load:
  • 2. Your answer: Take a firm grip of the load with both hands and keep it close to your waist. Use your strong leg muscles and transfer your weight in the direction of the manoeuvre. Plan rest breaks for longer tasks, and consider using a handling aid 9. For prolonged activities, begin with a good posture, as close to the task as possible. Which of the following strategies minimises strain during a potentially prolonged activity such as a car journey: Your answer: The car seat should be adjusted so you can reach the steering wheel and pedals without stretching 10. For prolonged activities, begin with a good posture, as close to the task as possible. Which of the following strategies minimises strain during a potentially prolonged activity such as working on a desktop computer: Your answer: Adjust the chair so you don’t have to bend your neck forwards or backwards and your forearms are placed parallel to the floor 11. “When working at low levels (such as on the floor) you may need to crouch or kneel. Take care to get close to the load, take a firm, comfortable grip and avoid twisting your spine during the activity”. Is this statement true or false? Your answer: True 12. “When lying down, your spine should be S-shaped when lying on your side”. Is this statement true or false? Your answer: False Ideally, your spine should be straight when lying on your side. Incorrect curvature of the spine will occur if the bed is too soft or if the pillow does not support your head. 13. Which one of the following best describes how to practise a good standing posture? Your answer: Stretch the crown of your head upwards, keep your shoulder blades back and down. Pull your tummy in and pull up your pelvic floor muscles 14. Which one of the following strategies may help reduce the cumulative effects of prolonged or repetitive activities at home or at work? Your answer: Stretching your working muscles and moving around regularly 15. “Back pain is usually a sign of a serious injury”. Is this statement true or false? Your answer: False
  • 3. Back pain is common and rarely serious. It usually occurs when one or more of the structures in the back are injured. 16. The lumbar spine takes all the weight of the upper body so it is important to avoid being overweight. Which one of the following is commonly used in the NHS to assess weight? Your answer: BMI 17. Which one of the following answers correctly describes a list of conditions that may all arise as a result of straining too much to move a load: Your answer: Hernias, prolapses and haemorrhoids 18. What form needs to be completed following an injury at work? Your answer: An accident or incident form 19. The muscles of the back work with tendons, joints, discs and ligaments to allow a large range of movement. Which one of the following structures act like ‘shock absorbers’? Your answer: Intervertebral discs 20. “The spine is at its strongest when it is loaded from above and weakest when rotated”. Is this statement true or false? Your answer: True 21. How many bones (vertebrae), including ‘fused bones’ does the spinal column contain? Your answer: 33 22. In a standing position, the spine forms natural curves that give it strength and flexibility. How many curves are present in this position? Your answer: 3 23. Which of the following answers correctly lists the order of the spinal column vertebrae, from the head down? Your answer: Cervical vertebrae, thoracic vertebrae, lumbar vertebrae, sacrum, coccyx 24. Which one of the following parts of the spine has the most vertebrae? Your answer: Thoracic spine 25. Where in the spinal column are the smallest vertebrae?
  • 4. Your answer: Cervical vertebrae 26. Where in the spinal column are the largest vertebrae? Your answer: Lumbar spine 27. “The spinal cord is protected by the vertebrae”. Is this statement true or false? Your answer: True 28. Which one of the following should prompt you to seek medical advice? Your answer: Prolonged pain, in combination with pins and needles, numbness or muscle weakness 29. “Back pain is usually a sign of a serious injury”. Is this statement true or false? Your answer: False Back pain is common and rarely serious. It usually occurs when one or more of the structures in the back are injured. 30. The lumbar spine takes all the weight of the upper body so it is important to avoid being overweight. Which one of the following is commonly used in the NHS to assess weight? Your answer: BMI 31. Which one of the following answers correctly describes a list of conditions that may all arise as a result of straining too much to move a load: Your answer: Hernias, prolapses and haemorrhoids 32. What form needs to be completed following an injury at work? Your answer: An accident or incident form 33. The muscles of the back work with tendons, joints, discs and ligaments to allow a large range of movement. Which one of the following structures act like ‘shock absorbers’? Your answer: Intervertebral discs 34. “The spine is at its strongest when it is loaded from above and weakest when rotated”. Is this statement true or false? Your answer: True 35.
  • 5. How many bones (vertebrae), including ‘fused bones’ does the spinal column contain? Your answer: 33 36. In a standing position, the spine forms natural curves that give it strength and flexibility. How many curves are present in this position? Your answer: 3 37. Which of the following answers correctly lists the order of the spinal column vertebrae, from the head down? Your answer: Cervical vertebrae, thoracic vertebrae, lumbar vertebrae, sacrum, coccyx 38. Which one of the following parts of the spine has the most vertebrae? Your answer: Thoracic spine 39. Where in the spinal column are the smallest vertebrae? Your answer: Cervical vertebrae 40. Where in the spinal column are the largest vertebrae? Your answer: Lumbar spine 41. “The spinal cord is protected by the vertebrae”. Is this statement true or false? Your answer: True 42. Which one of the following should prompt you to seek medical advice? Your answer: Prolonged pain, in combination with pins and needles, numbness or muscle weakness 43. All carers have a responsibility to follow the four steps of risk assessment for their own safety, referred to in the acronym AARR. The first ‘A’ stands for ‘Avoid’. What is it that should be avoided? Your answer: Hazardous moving and handling 44. All carers have a responsibility to follow the four steps of risk assessment for their own safety, referred to in the acronym AARR. The second ‘A’ stands for Assess. What is it that should be assessed? Your answer: Any hazards associated with the manoeuvre 45.
  • 6. All carers have a responsibility to follow the four steps of risk assessment for their own safety, referred to in the acronym AARR. The first ‘R’ stands for Reduce. What is it that should be reduced? Your answer: Any risk 46. All carers have a responsibility to follow the four steps of risk assessment for their own safety, referred to in the acronym AARR. The second ‘R’ stands for Review. What is it that should be reviewed? Your answer: The assessment 47. “The risk assessment should be recorded for all hazardous handling”. Is this statement true or false? Your answer: True 48. When considering the ‘task’ as part of the TILEO risk assessment, which one of the following factors do you also need to consider, in relation to the carers/individuals involved in the task? Your answer: If any extra training is required 49. Which one of the following factors, in relation to any individuals involved in a moving and handling manoeuvre, would require regular updating of the risk assessment? Your answer: Colleagues who are pregnant 50. When examining the load as part of the TILEO risk assessment, which one of the following statements is correct: Your answer: Seek help if the load is large and you will not be able to see where you are going 51. Which one of the following situations requires a more detailed risk assessment to be documented, according to the ‘risk assessment filter for handling loads according to the position of the load’? Your answer: If the load is heavier than 3 kg for women/5 kg for men and if the organisation employs more than 5 people 52. “An individual can safely move a heavy load by holding this above shoulder height, compared to holding a heavy load close to the body at hip height”. Is this statement true or false? Your answer: False
  • 7. When carrying a load, it needs to be kept close to the waist with arms close to the sides. A woman can safely carry a load of 10 kg at hip height, for example, but can only safely carry a load of 3 kg at shoulder height. 53. “A risk assessment needs to be performed and documented for any person who requires assistance with movement and for all carers who are performing the manoeuvre”. Is this statement true or false? Your answer: True 54. When considering the ‘task’ as part of the TILEO risk assessment, which one of the following factors do you also need to consider, in relation to the person to be moved? Your answer: The mobility goal for the person 55. In relation to the ‘principles of risk assessment for moving a person’, which one of the following answers best fits the definition of a load? Your answer: The person to be moved plus any equipment being used 56. Which one of the following answers correctly describes the test or tests you should perform to assess mobility before moving a person? Your answer: An arm- and leg-strength test and a trunk-control test 57. “When mobilising a person, give guidance in small stages. For example, ask them to move forward to the edge of their chair before asking them to stand.” Is this statement true or false? Your answer: True 58. “When assisting a person to mobilise, their physical ability and their ability to follow instructions are unlikely to change during the task provided the risk assessment has been done in advance”. Is this statement true or false? Your answer: False The person’s physical ability and their ability to follow instructions may change during the task so carers need to be ready for a sudden collapse or unpredictable behaviour. 59. Which one of the following normally poses the highest risk to carers? Your answer: A person who needs hoisting 60. Which one of the following answers lists items that are all normally included in a ‘person- handling plan’? Your answer:
  • 8. The task to be performed, the number of staff needed, equipment details, method and special instructions for the task 61. When attempting to do a manually assisted stand and walk, which one of the following groups would be suitable? Your answer: People who can bear weight fully on at least one leg 62. “When attempting to manually assist a person to stand and walk, the carers balance most of the person’s weight.” Is this statement true or false? Your answer: False This procedure is only suitable for people who can bear weight fully on at least one leg. The contribution of carers should be minimal. 63. Which one of the following may be the most suitable aid for patients in the early stages of rehabilitation? Your answer: A standing/walking hoist 64. Which one of the following answers correctly describes what you should do to assess for one-sided weakness before helping a person to stand up? Your answer: Check the person’s ability to raise their arms and legs 65. “When only one carer is required to help a person with a one-sided weakness to stand, the carer should stand on the person’s stronger side”. Is this statement true or false? Your answer: False If only a single carer is required, the carer should stand on the person’s weaker side. 66. Which one of the following should be avoided when supporting a person to stand? Your answer: The carer interlocking their fingers with the person’s fingers 67. “When assisting a person to stand, a carer may adopt a palm-to-palm hold in which both the carer and the person keep their thumbs close to their fingers so carers can release themselves from the person’s grip”. Is this statement true or false? Your answer: True 68. Which one of the following answers describes actions that are all part of a mobility assessment, before assisting a person to stand up? Your answer:
  • 9. Assessing the person’s ability to balance unsupported when sitting, testing muscle strength and evaluating coordination in arms and legs 69. Before standing up from sitting, which one of the following answers correctly describes the first move the person can do to help? Your answer: Shuffle forwards, to the front edge of the chair 70. Which one of the following is the recommended feet position for a person about to stand up from a chair? Your answer: A shoulders-width apart in a step stance (one foot in front of the other) 71. “If a person uses a walking aid, when standing up they should take hold of it before standing up”. Is this statement true or false? Your answer: False The walking aid should be close to hand but the person should only take hold of it when they are up on their feet. 72. Which one of the following answers describes the correct approach for two carers helping a seated person to stand up? Your answer: The carers should stand either side of the seated person in a walk-stand position. Ask the person to hold onto the arms of the chair and lean forward 73. Which one of the following answers describes is the correct approach for two carers helping a seated person to stand up? Your answer: Both carers have their body weight on their back feet, shoulders relaxed, tummy and pelvic floor muscles braced. The carers’ arms cross over the person’s back and they place their other hand in front of the person’s shoulder 74. When a person stands up from a sitting position with assistance, which one of the following answers describes the recommended position for their hands? Your answer: The person should push off from the chair with both hands 75. Which one of the following answers describes is the correct approach for two carers helping a standing person to sit down? Your answer: Encourage the person to reach for the arm rests or surface of the seat, and to push their buttocks out. Ask them to slowly lower into the chair on the command ‘ready, steady, sit’ 76. Which one of the following approaches is appropriate when helping a seated person to stand up from a profiling bed?
  • 10. Your answer: Ask the person to shuffle to the edge of the bed and position both feet on the floor. Raise the bed with the remote control as the person leans forward and pushes down on the bed with their hands 77. Which of the following answers lists items that are all aids to help a person who needs a manually assisted stand and walk? Your answer: A handling belt, stick, crutches, wheeled frame 78. “A person who is learning how to use a walking aid may need to be fitted with a handling belt.” Is this statement true or false? Your answer: True 79. A therapist has selected and set up the most appropriate walking aid for someone who needs manual assistance with standing and walking. The therapist has also chosen a suitable gait pattern for them. What additional safety measure is appropriate in case the patient tires while walking? Your answer: A chair should be available nearby or another carer could follow behind with a wheelchair 80. Which two of the following statements is true about handling belts? Your answer(s): They should fit snugly and not be too loose They should avoid wounds and not obstruct any attachments 81. “When one carer is manually assisting a person with a one-sided weakness to walk with a handling belt, the carer should stand on their unaffected side and grasp one handle of the belt.” Is this statement true or false? Your answer: False If you are the only carer, stand on the affected side of the person and grasp one handle of the belt (the one on the far side) 82. “When one carer is manually assisting a person with a one-sided weakness to walk with a handling belt, the carer should stand on their unaffected side and grasp one handle of the belt.” Is this statement true or false? Your answer: False If you are the only carer, stand on the affected side of the person and grasp one handle of the belt (the one on the far side) 83.
  • 11. “Several hand-hold positions are possible when manually assisting a person to walk with a handling belt.” Is this statement true or false? Your answer: True 84. With respect to adjusting a stick, crutch or walking frame to a person, is the following statement true or false? “The handle of the stick, crutch or walking frame should be at the level of the person’s wrist crease, when the elbow is flexed approximately 15 degrees.” Your answer: True 85. With respect to adjusting a stick, crutch or walking frame to a person, is the following statement true or false? “The arm support of a crutch should be above the person’s elbow.” Your answer: False The statement is false. The arm support of a crutch should be below the person’s elbow. 86. Which one of the following statements is correct about a person using one stick with the assistance of one carer? Your answer: The stick should be held in the opposite hand to the weak/affected leg, with the carer standing on the side of the weak/affected leg 87. Is the following statement true or false? “Unlike standard frames, wheeled walking frames encourage the use of a normal walking pattern.” Your answer: True 88. “When assisting a person to stand from a chair, ask them to pull themselves up using the walking frame while you stabilise the frame by placing your feet on it”. Is this statement true or false? Your answer: False When assisting a person to stand from a chair, do not allow them to pull themselves up using the frame, and never try to stabilise the frame by placing your feet on it as this can damage the frame. 89. What is the purpose of a wheeled frame with poles? Your answer: To provide extra support to assist standing from a sitting position and vice versa 90. “You should not attempt to assist a person up and down stairs or steps unless a therapist has assessed them and informed you how to move them safely.” Is this statement true or false?
  • 12. Your answer: True 91. “When ascending stairs with the help of crutches, the person should lead with the unaffected ‘good’ leg, when descending stairs, they should lead with the affected ‘bad’ leg.” Your answer: True 92. “When using a stand-and-turn aid the person needs to have good upper body strength and standing balance.” Is this statement true or false? Your answer: False Correct answer: True 93. Which one of the following must be checked before doing a stand and transfer using a stand-turn-and-move aid? Your answer: The person’s leg strength 94. Before doing a stand and transfer using a stand-turn-and-move aid, it is important to check the height of the leg support. Which one of the following answers describes the correct method? Your answer: Adjust the height of the leg supports against the person’s knees while they are still seated. There should be a gap of two fingers’ width between the lower edge of the person’s knee caps and the top edges of the leg supports of the aid ( 95. “A transfer board is a rigid board that is used to bridge the gap between two surfaces so that someone can slide from one to the other—for example, from a chair to a wheelchair or into and out of a car.” Is this statement true or false? Your answer: True 96. “Before using a transfer board, ensure it is clean. Check the maximum working load of the board and that it is not cracked or damaged”. Is this statement true or false? Your answer: True 97. Which one of the following situations best supports a person getting out of bed from a sitting position? Your answer: Adjust the bed height so that the person can position their feet firmly on the floor when seated on the edge of the bed, before attempting to get out 98.
  • 13. When someone is getting out of bed from sitting using normal movement, it can be helpful to insert a small tubular slide sheet under their buttocks before they rotate to move their legs over the side of the bed. Which one of the following answers best explains why this is helpful? Your answer: It can reduce friction and shearing of the skin 99. Which one of the following statements about fabric turntables is true? Your answer: They can promote independence, but for successful use, the person must be motivated and capable of using the aid confidently and safely 100. In relation to fabric turntables, which one of the following statements is correct? Your answer: The turntable reduces the risk of the person sustaining skin damage during turning movements while sitting, by reducing friction and shearing forces 101. A person may prefer to use the bed-end to provide support for standing when getting out of bed. Which one of the following moving and handling aids is most suitable to help with this? Your answer: A straight transfer board 102. Which one of the following statements is correct about straight transfer boards? Your answer: It can be placed on the edge of the bed to provide a firm surface to move along, by preventing the person from sinking into the mattress Never place a slide sheet underneath a transfer board on a bed as this would make it likely to slip off the bed when the person sits on it. 103. Which one of the following statements is correct in relation to getting a person into bed using a tubular slide sheet? Your answer: Place the slide sheet onto the bed, ensuring that it is about 10 cm from the edge, on the side that the person will be getting into The bed should be adjusted to a suitable height—this means that the person can put their feet flat on the floor. Use of a non-slip mat will allow them to push down with their feet without fear of slipping. 104. After a person has been helped into bed with use of a tubular slide sheet, the slide sheet must be removed. Which one of the following answers describes the correct method for removing it, once the person is in the preferred position in the bed? Your answer: If working on the person’s right side, slide your left hand between the two layers of the slide sheet and grasp the bottom layer on the side furthest away from you. Gently pull it out diagonally towards the bed-head
  • 14. 105. With regard to supporting a person to get into and out of bed, which one of the following statements is correct? Your answer: Where the person getting out of bed has one leg stronger than the other, they should position their stronger leg at the front when rising, to power themselves up Correct answer: Where the person getting out of bed has one leg stronger than the other, they should position their stronger leg at the back when rising, to power themselves up 106. Which one of the following statements is correct? Your answer: An electric profiling bed can be useful to assist a person to stand from a seated position 107. Which one of the following situations best supports a person getting out of bed from a sitting position? Your answer: Adjust the bed height so that the person can position their feet firmly on the floor when seated on the edge of the bed, before attempting to get out 108. When someone is getting out of bed from sitting using normal movement, it can be helpful to insert a small tubular slide sheet under their buttocks before they rotate to move their legs over the side of the bed. Which one of the following answers best explains why this is helpful? Your answer: It can reduce friction and shearing of the skin 109. Which one of the following statements about fabric turntables is true? Your answer: They can promote independence, but for successful use, the person must be motivated and capable of using the aid confidently and safely 110. In relation to fabric turntables, which one of the following statements is correct? Your answer: The turntable reduces the risk of the person sustaining skin damage during turning movements while sitting, by reducing friction and shearing forces 111. A person may prefer to use the bed-end to provide support for standing when getting out of bed. Which one of the following moving and handling aids is most suitable to help with this? Your answer: A straight transfer board 112. Which one of the following statements is correct about straight transfer boards? Your answer: It can be placed on the edge of the bed to provide a firm surface to move along, by preventing the person from sinking into the mattress
  • 15. Never place a slide sheet underneath a transfer board on a bed as this would make it likely to slip off the bed when the person sits on it. 113. Which one of the following statements is correct in relation to getting a person into bed using a tubular slide sheet? Your answer: Place the slide sheet onto the bed, ensuring that it is about 10 cm from the edge, on the side that the person will be getting into The bed should be adjusted to a suitable height—this means that the person can put their feet flat on the floor. Use of a non-slip mat will allow them to push down with their feet without fear of slipping. 114. After a person has been helped into bed with use of a tubular slide sheet, the slide sheet must be removed. Which one of the following answers describes the correct method for removing it, once the person is in the preferred position in the bed? Your answer: If working on the person’s right side, slide your left hand between the two layers of the slide sheet and grasp the bottom layer on the side furthest away from you. Gently pull it out diagonally towards the bed-head 115. With regard to supporting a person to get into and out of bed, which one of the following statements is correct? Your answer: Where the person getting out of bed has one leg stronger than the other, they should position their stronger leg at the back when rising, to power themselves up 116. Which one of the following statements is correct? Your answer: An electric profiling bed can be useful to assist a person to stand from a seated position 117. “If a person is unable to sit independently and requires assistance with their movements, they should be nursed on a profiling bed.” Is this statement true or false? Your answer: True 118. Which one of the following statements is correct? Your answer: When encouraging a person to move in bed, carers should follow the principles of normal body movement patterns 119. Which one of the following answers correctly describes the normal movement pattern of a person rolling over in bed in a lying position onto their right side? Your answer: They first bend one or both knees, until one or both soles are on the bed. They reach across their body with their left arm. They turn their head to the right and allow the weight of their bent legs to turn them onto their right side
  • 16. 120. “Slide sheets are commonly inserted by using the ‘unravelling’ method, without rolling the person in bed”. Is this statement true or false? Your answer: False The unravelling method is most useful when it is difficult to roll the person and when assisting a plus-size person. 121. Slide sheets should be long enough to reach from the person’s head to their heels. Why? Your answer: To protect all body parts from friction 122. Which one of the following is the correct method for removing a tubular slide sheet? Your answer: Pass your hand between the two layers of the tubular slide sheet, under the person’s knees. Grasp the far edge of the lower layer of the slide sheet. Slowly pull the sheet from beneath the person 123. “A person who is able to sit unsupported and has sufficient strength in both legs and arms can be encouraged to move themselves up the bed using a small slide sheet or hand blocks.” Is this statement true or false? Your answer: True 124. “When you are about to slide a person up the bed, while standing at the head-end of the bed, you should consider removing the headboard”. Is this statement true or false? Your answer: True 125. “In preparation for sliding a person up in bed, the head of the bed should always be tilted down to assist with this movement”. Is this statement true or false? Your answer: False Although using the tilting facility of the bed may assist with this movement, it will be important for the carers to assess the clinical condition of the person before tilting them head down. 126. Which one of the following answers describes the correct procedure for sliding a person up in bed, with both carers standing at the head-end of the bed (behind the bed)? Your answer: The carers stand in a step stance, with their weight on their front feet. They take hold of the slide sheet on each side. Using an agreed command both carers transfer their weight onto their back feet 127.
  • 17. “When using slide sheets to move a person up in bed, it is better to do this in several short moves rather than one big transfer”. Is this statement true or false? Your answer: True 128. When transferring an unconscious person from a theatre trolley to a bed, which of the carers involved is best placed to coordinate the move? Your answer: The carer standing at the head-end of the trolley/bed 129. “When transferring a person in a supine position from a bed to a bed, always position the receiving bed at the same height than the bed the person is moved from”. Is this statement true or false? Your answer: False The move is easier when the receiving surface is slightly lower than the starting surface. 130. Which one of the following conditions would require extra consideration when transferring a person in supine position from a bed to another bed? Your answer: A suspected spinal injury 131. Large transfer boards are typically used to: Your answer: Move a person in a supine position from a bed to a trolley or from a bed to a bed 132. “Transfer boards do not normally have a maximum weight limit”. Is this statement true or false? Your answer: False As part of the assessment before moving a person, ensure that the person is within the maximum weight limit of the transfer board 133. “When transferring a person in a supine position from a bed to a bed, always ensure that the person’s head is on the large transfer board before sliding them across to the receiving surface”. Is this statement true or false? Your answer: True 134. With respect to slide sheets, which one of the following statements is correct? Your answer: They are designed to reduce friction and protect the person’s skin 135. In relation to falls, which one of the following statements is correct? Your answer:
  • 18. It is important to distinguish between a simple fall and a collapse 136. In relation to the definition of a simple fall, which one of the following statements is correct? Your answer: A simple fall is one resulting from a chronic impairment of cognition, vision, balance or mobility 137. In relation to the definition of a collapse, which one of the following statements is correct? Your answer: A collapse is a fall resulting from an acute medical problem such as an acute arrhythmia or transient ischaemic attack 138. Post-fall syndrome can be described as including an increase in dependence, loss of autonomy, confusion, immobilisation and depression, leading to a further restriction in daily activities. Is this statement true or false? Your answer: True 139. “A history of falls in the past year remains the single most important risk factor for falls and is a predictor of further falls.” Is this statement true or false? Your answer: True 140. In relation to assisting a falling person to the floor, which one of the following statements is correct? Your answer: This is a high-risk activity 141. As soon as you are aware that the person you are assisting is starting to fall, what is the best next step? Your answer: Release your supporting hand-hold and step backwards 142. “Assisting a falling person is riskier when the person is resisting or there is a significant height or weight difference between the person and the carer”. Is this statement true or false? Your answer: True 143. “When guiding a falling person to the floor, the carer’s priority is to protect the person’s spine in the first instance”. Is this statement true or false? Your answer: False
  • 19. When guiding the falling person to the floor, the carer will aim to protect the person’s head as much as possible. 144. Which one of the following needs to be checked first, before assisting a person who has fallen to the floor? Your answer: The environment 145. “A fallen person should not be moved until a suitably qualified person has carried out an assessment of any injury incurred and their medical condition”. Is this statement true or false? Your answer: True 146. Which one of the following lists includes factors that are all typical reasons for why a person may fall? Your answer: Fainting, seizure, drop in blood pressure 147. Which one of the following methods is most appropriate to help a fallen person to get up off the floor when no injury has been sustained and the person has the ability to raise themselves? Your answer: Assisting with one or two chairs 148. “When assisting a fallen wheelchair user with good upper body strength to get up from the floor, it may be possible to help the person to sit on a small stool before they move back to the wheelchair”. Is this statement true or false? Your answer: True 149. “When someone has fallen in a confined space, moving them using slide sheets should never be attempted”. Is this statement true or false? Your answer: True Correct answer: False When someone has fallen in a confined space, it is possible to use slide sheets to extricate them safely. Always ensure the environment is safe before approaching the person, and follow local protocol for managing airway, breathing and circulation. 150. Which one of the following statements is correct about managing a person who has fallen in a confined space? Your answer: If the person is in a reduced state of consciousness, for example following a seizure, maintaining an effective airway takes priority
  • 20. 151. Which one of the following statements is correct about the use of an air cushion to assist a fallen person? Your answer: Air cushions are easily transportable and can be used in small spaces 152. “If the assessment of a fallen person shows that they cannot sit unaided or maintain an upright position without assistance, carers may use slide sheets to position them onto an air cushion system with built-in back support”. Is this statement true or false? Your answer: True 153. “Powered air mattress systems are typically used when recovering a person from the floor in a community setting”. Is this statement true or false? Your answer: False Powered air mattress systems are most commonly seen in hospitals 154. Which one of the following statements is correct about powered air mattress systems, which are typically used to recover a person who has sustained a serious injury? Your answer: CPR can be performed on the inflated base mattress, with the top mattress deflated Powered air mattresses may be used to recover a person who has sustained (or is suspected of having sustained) a serious injury. If the person has a suspected spinal injury, a powered air mattress can be used in conjunction with stabilisation and immobilisation equipment, provided trained carers are available who have the relevant knowledge and competence. 155. “Powered air mattress systems consist of a base mattress and a top mattress. The top mattress needs to be inflated when sliding the person over the base mattress, for example when moving from the floor onto the base mattress”. Is this statement true or false? Your answer: True 156. Following a fall, a hoist recovery is possible when there is sufficient space around the fallen person. Is this statement true or false? Your answer: True 157. “When inserting a hoist sling under a person in bed, the sandwich method is ideal to ensure minimal movement, for example when the person is likely to experience pain because of movement”. Is this statement true or false? Your answer: True 158.
  • 21. Which one of the following best describes the ‘sandwich technique’, used when inserting a hoist sling in the chair? Your answer: Inserting a pair of slide sheets behind the person to make it easier to insert the sling 159. In relation to removing a sling from a person in a chair, which one of the following statements is true: Your answer: If the carer kneels in front of the person, they can put their foot on the carer’s thigh to lift their leg away from the seat in order to make it easier to remove the sling 160. “When transferring a person from the chair to the bed using a clip hoist, ensure that the hoist’s brakes are on, just before raising the person up from the chair.” Is this statement true or false? Your answer: False The hoist’s brakes need to be off when raising the person up from the chair 161. It is good practice to place a slide sheet under the person’s heels, before hoisting the person from the bed to the chair. What is the main reason for doing this? Your answer: To prevent shearing of the skin 162. Which one of the following descriptions best fits a standing (active) hoist? Your answer: It has a foot plate on which the person stands, assisted by a sling around their waist attached to the spreader bar 163. Which one of the following people are most suited for use of a standing hoist? Your answer: A person who is able to cooperate, has sufficient trunk control and standing balance 164. Which one of the following statements best describes the correct preparation for helping a person in a chair to stand with a standing hoist? Your answer: With the hoist in front of the person, they should place their feet on the foot plate of the hoist and the knee pads of the hoist should be adjusted to sit just below their patellae 165. With respect to hoists, which one of the following statements is correct? Your answer: Hoists can be used for transferring people, assisting them to stand and promoting rehabilitation 166. How often should hoists and slings be formally inspected? Your answer: Every 6 months and the date of the next inspection should be marked on the hoist
  • 22. 167. In relation to hoists, which one of the following statements is correct? Your answer: When using passive mobile hoists, the brakes must not be used during the lifting or lowering of the person. The hoist needs to be able to move slightly towards the person when lifting and slightly away from them when lowering 168. In relation to manually assisting a person to stand from a low bed aided by two carers (as a short term-solution), which one of the following statements is correct? Your answer: Before beginning, check the safe working load of the bed because it will need to take the weight of three people 169. Which one of the following answers describes an acceptable short-term solution for two carers manually assisting a person to stand from a low bed? Your answer: The carers sit on the bed on either side of the person and, using their hands furthest away from the person, reach in front of the person’s arms and grasp the belt handle nearest to them 170. When one carer is manually assisting a person to get out of bed which one of the following answers best describes the minimum ability of the person being assisted? Your answer: A person with a one-sided weakness who can sit independently and is able to participate actively 171. Which one of the following is a common person-related risk to look out for in the early stages of rehabilitation? Your answer: Postural hypotension 172. Which one of the following answers best describes the correct method for manually assisting a person out of bed, aided by two carers? Your answer: The main carer (in front of the person) places one hand beneath the person’s lower shoulder and one on their uppermost hip. The assisting carer (supporting the person’s back from the other side of the bed) places a hand beneath the person’s lower shoulder 173. Which one of the following answers describes an appropriate short-term measure for assisting a person from lying to sitting in a bed? Your answer: A bed ladder to allow the person to sit themselves forwards 174. Which one of the following activities carries the highest risk of injury to carers? Your answer: Sitting a person up on a trolley or bed 175.
  • 23. In relation to using a bed ladder for sitting up in bed, which one of the following statements is correct? Your answer: Always check that the bed ladder is put away and not able to fall on the floor 176. With respect to using an elbow-to-elbow hold to assist a person to sit up, which one of the following statements is correct? Your answer: This manoeuvre may be necessary for tasks such as inserting a radiography plate behind a person on a trolley 177. Which one of the following answers correctly describes the elbow-to-elbow hold used by two carers assisting a person to sit up? Your answer: Each carer slides their hand closest to the person along the inner aspect of the person’s arm and beneath their elbow, with the thumbs behind the elbow of the person 178. In relation to using a handling sling and two carers to assist someone to sit up on a low bed, which one of the following statements is correct? Your answer: Carers may find it difficult to perform this activity as it places strain on their knees 179. In relation to using a tubular slide sheet to move a person up a low bed, which one of the following statements is correct? Your answer: The tubular slide sheet must reach from the person’s head to their heels 180. Which one of the following answers describes a list of options that are all suitable for moving a person up a low bed, once the tubular slide sheet is in place under the person? Your answer: Both carers kneel on the bed and use two arms; both carers kneel on the bed and use one arm; both carers stand beside the bed and use one arm 181. Which one of the following is correct in relation to lifting a person off the floor? Your answer: The carers should start in a half-kneeling position or in a semi-squat position, ensuring that they keep their spines upright 182. Which one of the following answers correctly describes why the ‘drag hold’ should not be used to assist a person with walking? Your answer: Should the person fall, the carers would find it difficult to disengage and are therefore at risk of injury 183. Which one of the following statements is correct? Your answer:
  • 24. The cradle lift (orthodox lift) and the Australian lift (shoulder lift) are potentially damaging for the carer and the person being moved