Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is the recommended method for a conscious hemiplegic stroke patient to transfer from a chair to a bed?

1. Facing the bed directly

2. Orienting the chair at an angle with the unaffected side closest to the bed

3. Using a hoist for transfer

4. Sliding directly from chair to bed without assistance

The correct answer is: Orienting the chair at an angle with the unaffected side closest to the bed

The recommended method for a conscious hemiplegic stroke patient to transfer from a chair to a bed is to orient the chair at an angle with the unaffected side closest to the bed. This approach facilitates a safer and more efficient transfer by allowing the patient to use their stronger side for support and leverage during the transition. Positioning the chair at an angle helps to minimize the distance the patient has to reach or pivot, reducing the risk of falls or injury. It also provides better access to the bed for the unaffected limb, allowing the patient to push off appropriately. This method not only supports the patient’s physical abilities but also promotes independence and confidence during the transfer process, which is essential for rehabilitation. Additionally, it prepares the patient for assuming a safe position in bed, promoting overall safety during the transfer. Other methods such as facing the bed directly may not provide the same level of safety or support, and using a hoist for transfer, while appropriate in certain circumstances, is not typically necessary for a conscious patient who can engage in the process. Sliding directly from chair to bed without assistance poses a significant risk of falling or injury, particularly for patients with compromised mobility and strength on one side.