An older client who can stand but not ambulate requires assistance to transfer to a chair. Which action should the nurse take?

• A. Place a transfer belt around the client, assist to stand, and pivot to a chair that is placed at a right angle to the bed
• B. Stand the patient without assistance
• C. Call for a family member to assist
• D. Use a hydraulic lift

Answer: (A)

The key idea is safe, controlled transfer using a secure grip and proper positioning when a patient can stand but cannot ambulate. A gait belt placed around the waist gives the nurse a firm, close-to-the-body handle to guide the patient through standing and turning toward a chair, which dramatically reduces the risk of loss of balance or a fall. With the chair positioned at a right angle to the bed and close enough to reach, the patient can pivot smoothly toward the seat as the nurse maintains hold of the belt and provides steady support. Using the belt allows the nurse to assist from the patient’s weaker side, keep the back straight, bend the knees, and move with the patient rather than pulling on the arms or torso, which protects both parties. Lowering the patient into the chair is done slowly, maintaining control throughout the descent. A hydraulic lift is typically reserved for patients who cannot bear weight or stand at all, so it isn’t the best fit here. While family assistance can be helpful, the safest and most reliable approach is for trained staff to perform this transfer with proper technique and equipment.