Free Printable Immboility and Mobility in Nursing

Worksheets

Immboility and Mobility in Nursing

Total questions: 59

Worksheet time: 35mins

Name

Class

Date

A nurse is instructing a patient who has decreased leg strength on the left side on how to use a cane. Which actions indicate proper cane use by the patient? (Select all that apply.)

The patient keeps the cane on the left side of the body.

The patient slightly leans to one side while walking.

The patient keeps two points of support on the floor at all times.

After the patient places the cane forward, he or she then moves the right leg forward to the cane.

The patient places the cane forward 15 to 25 cm (6 to 10 inches) with each step.

A patient is experiencing some problems with joint stability in the right leg. The doctor has prescribed crutches for the patient to use while being allowed to bear weight only on the left leg. Which of the following gaits should the patient be taught to use?

Four-point

Three-point

Two-point

Swing-through

Which of the following motivates a patient to participate in an exercise program? (Select all that apply.)

Providing a patient with a pamphlet on exercise

Providing information to the patient when he or she is ready to change behavior

Explaining the importance of exercise at the time of diagnosis of a chronic disease

Having a structured daily plan that incorporates physical activity

Having support from significant other to engage in exercise

Which of the following is the proper sequence for a four-point crutch gait?

The nurse is caring for an older adult in a long-term care setting. The nurse reviews the medical record to find that the patient has progressive loss of total bone mass. The patient’s history and tendency to take smaller steps with feet kept closer together will most likely result in which of the following?

Increase the patient’s risk for falls and injuries

Result in less stress on the patient’s joints

Decrease the amount of work required for patient movement

Allow for mobility in spite of the aging effects on the patient’s joints

Place in the correct order the steps needed (below) to transfer a patient with sufficient lower body strength to a chair.

1. On count of three, instruct patient to stand while straightening hips and legs and keeping knees slightly flexed.

2. Assist patient to assume proper alignment in sitting position.

3. Help patient apply stable, nonskid shoes/socks.

4. Spread your feet apart. Flex hips and knees, aligning knees with patient’s knees.

5. Apply gait/transfer belt.

6. Maintain patient’s balance as you pivot foot farthest from chair and then help patient ease into chair.

7. Grasp transfer belt along patient’s sides.

(a)

Before transferring a patient from the bed to a stretcher, which assessment data does the nurse need to gather? (Select all that apply.)

Patient’s weight

Patient’s activity tolerance

Patient’s level of mobility

Recent laboratory values

Nutritional intake

Which of the following indicates that additional assistance is needed to transfer a patient from the bed to the stretcher? (Select all that apply.)

The patient is 5 feet, 6 inches and weighs 120 lb.

The patient speaks and understands English.

The patient is returning to unit from recovery room after a procedure requiring conscious sedation.

The patient has a history of being able to stand independently.

The patient received analgesia for pain 30 minutes ago.

A 51-year-old adult comes to a medical clinic for an annual physical exam. The patient is found to be slightly overweight and reports being inactive, walking only 2 to 3 times a week with his wife after work. He has good muscle strength and coordination of lower extremities. Which of the following recommendations from the Physical Activity Guidelines for Americans should the nurse suggest? Choose all that apply

Move more and sit less throughout the day.

Participate in at least 90 minutes a week of moderate-intensity aerobic physical activity.

Perform muscle-strengthening activities using light weights on 2 or more days a week.

Walk at a vigorous pace with wife at least 150 minutes over five days a week.

Focus on balance training.

10.

Family members have asked for a meeting with the nursing staff of an assisted-living residential center to discuss the feasibility of their mother using a walker. The family is worried that her health is declining; they wonder whether she can use the walker safely. Which of the following instructions should the nurse give the family after assessing that it is safe for the woman to use a walker? (Select all that apply.)

A walker is useful for patients who have impaired balance.

The patient uses a walker by pushing the device forward.

Leaning over the walker improves the patient’s balance.

Walkers should not be used on stairs.

If the patient has difficulty advancing the walker, a walker with wheels is an option.

11.

Passive Range of Motion is when

The resident completes the exercises by themselves

The resident does the exercises with some help

The CNA (caregiver) moves the resident's joints through exercises

The resident does the exercises whenever they wish to do them

12.

If a resident has an injury to the joint, the caregiver should

complete all ROM exercises

check with the nurse/care plan prior to doing ROM exercises

ask the resident which exercises they would like to do

contact the physical therapist or doctor for clarification

13.

Which joint is NOT exercised by a nursing assistant?

the hip

the shoulder

the thumb

the neck

14.

Turning the forearm joint upward is called _________ and turning the forearm joint downward is called _________

inversion, eversion

pronation, supination

supination, pronation

abduction and adduction

15.

What is the extra ROM exercise for the thumb called?

Abduction

Flexion

Adduction

Opposition

16.

Check all of the following ROM exercises that are used for the hip and shoulder joints

Internal and external flexion

Internal and external rotation

Flexion and Extension

Inversion and Eversion

17.

This is a wrist exercise where the wrist is turned inward

Ulnar Flexion

Extension

Radial Flexion

Adduction

18.

External Rotation is turning the joint in what direction?

Outward

Downward

Inward

Upward

19.

When performing ROM exercises, how many times is each exercise performed?

10 times for each exercise

15 times for each exercise

5 times for each exercise but stop if the patient is hurting

you exercise the joint for 5 minutes and then stop

20.

ROM exercises where the person does the exercises with some help is called

Active ROM

Active-assistive ROM

Passive ROM

Delegation ROM

21.

Bending the toes and foot up at the ankle

Dorsiflexion

Hyperextension

Plantar Flexion

Flexion

22.

How many ROM exercises are there for the toes

23.

Moving a body part away from the mid-line of the body

rotation

adduction

abduction

opposition

24.

What are some safety and comfort measures we take when doing ROM exercises

Cover the person with a bath blanket for warmth & privacy

Expose all body parts

Support the part being exercised at all times

Keep going if you meet resistance or the person has pain

25.

The movement of a joint to the extent possible without causing pain is called

Range of Moving

Range of Motion

Range of Monitoring

Range of Movement

26.

Physicians rarely prescribe strict ______.

bedrest

exercise

medication

fasting

27.