Final answer:
The correct answer is c. is confused and combative. A stand and pivot transfer is unsafe for someone who is confused and combative, as it requires cooperation and understanding for safety.
Step-by-step explanation:
A stand and pivot transfer may be considered unsafe for a person who is confused and combative (option c). This type of transfer requires a level of cooperation and understanding from the person being moved, as stability and safety are paramount. The transfer could be risky if the person is not able to understand instructions or potentially acts out violently during the process. While a person with hearing impairments might need accommodations, they can safely be transferred if they can follow visual cues or other communication strategies. A person who can bear some weight with their legs (option b) and someone who uses a transfer belt for additional support can generally be transferred safely with proper technique.
For increased stability while standing, feet should be spread apart to provide a larger base of support, and knees can be bent to lower the center of gravity. These principles are important for those who assist with transfers, as they must ensure both their own stability and that of the person they are assisting.