Mobility EXAM 2 Questions with Correct Answers

Mobility EXAM 2 Questions with Correct Answers Explain the Get Up and Go Test - Answer- 1. able to rise in a single movement- no loss of balance with steps -0 2. pushes up, successful in one attempt- 1 3. multiple attempts, but successful- 3 4. unable to rise without assistance during test (OR if a medical order states the same and/or complete bed rest is ordered)- 4 Combining the results of the Hendrich II Fall Risk Model and the Get Up & Go Test what score depicts high risk? - Answer- score of 5 or greater what are the 6 elements of fall risk reduction program? - Answer- 1. assess and reassess fall risk in all patients 2. maintaining a safe environment -extrinsic factors 3. monitoring gait and mobility 4. enabling safe toileting 5. educating the family and patient 6. using interdisciplinary team management- may need to get other disciplines involved such as pharmacy, PT, nutrition and social work 4 steps to do when a fall occurs - Answer- 1. Assessment: vitals, LOC, check for shortening of extremity, pain. If numbness or tingling in extremities, back pain, rib pain or externally rotated or shortened leg. DO NOT MOVE if possible; call for ambulance 2. notify health care provider and family 3. if no acute warning signs, continue frequent neuro checks and vital signs- checking for development of subdural hematoma 4. documentation and analysis - was fall preventable? Guidelines for musculoskeletal injuries among health care workers? - Answer- 1. keep weight to be lifted as close to body as possible 2. bend at the knees to maintain center of gravity and use stronger leg muscles to do lifting 3. tighten abdominal muscles and tuck the pelvis to provide balance and protect the back