NURSU 461 Immobility Exam Study Guide
The nature of movement is an interplay of - ANSWER Body mechanics
Alignment & Balance
Gravity
Friction
Body mechanics is - ANSWER Coordination of the musculoskeletal and nervous system
Movement is dependent on an - ANSWER intact skeletal system, skeletal muscles, and
nervous system.
Mobility - ANSWER a person's ability to move about freely
Body alignment - ANSWER Positioning of joints, tendons, ligaments and muscles while
standing, sitting, or lying
Balance - ANSWER required to maintain a static position
What can affect balance? - ANSWER Medications, disease, injury, pain, developmental
stage, life changes etc.
Friction - ANSWER The Force occurring in the direction opposing movement
Greater the surface area, greater the friction
Shear - ANSWER Shear: bony structures move, but skin stays stationary
Nurses assess the pt to gather - ANSWER information about body alignment, balance,
gravity, and friction when implementing nursing interventions such as positioning
patients, determining the risk of patient falls, and selecting the safest way to move or
transfer patients.
Always consider what first? - ANSWER Safety!
Mobility refers to - ANSWER a person's ability to move about freely, and immobility
refers to the inability to do so
-a continuum
Factors affecting mobility - ANSWER Alterations or Injury to the musculoskeletal system
Impaired Central Nervous System (CNS)
Health status and age
, Therapeutic measure
Why is mobility a continuum? - ANSWER with mobility on one end, immobility on the
other, and varying degrees of partial immobility between the end points. Could be
temporary, permanent, sudden onset, slow onset etc.
Sometimes we use immobility as a - ANSWER therapeutic measure, i.e. the provider
prescribes Bed rest for the patient, to keep the patient safe in a particular
situation/instance.
Muscular reconditioning is associated with - ANSWER lack of physical activity can
appear as quickly as in a matter of days, and this can affect a number of body systems
Disuse atrophy - ANSWER describes the tendency of cells and tissue to reduce in size
and function in response to prolonged inactivity.
A pt with complete mobility restrictions is - ANSWER continually at risk for the hazards
of immobility. When possible, it is imperative that we mobilize patient's as soon as
possible.
please ensure you pay attention to interventions, specific devices etc located in your
book and modules as these are fair game for testing and board certification knowledge!
- ANSWER
Body system changes due to immobility - ANSWER Integumentary
Respiratory
Cardiovascular
Metabolic
Elimination
Gastrointestinal
Musculoskeletal
Neurological
Psychosocial
Developmental
Integumentary changes - ANSWER Major risk for pressure ulcers
Pressure ulcers - ANSWER Pressure ulcers: prolonged ischemia, inflammation, bony
prominence -> skin breakdown. Now lets think about shear again....
Pressure ulcers assessment - ANSWER Continually assess skin
The nature of movement is an interplay of - ANSWER Body mechanics
Alignment & Balance
Gravity
Friction
Body mechanics is - ANSWER Coordination of the musculoskeletal and nervous system
Movement is dependent on an - ANSWER intact skeletal system, skeletal muscles, and
nervous system.
Mobility - ANSWER a person's ability to move about freely
Body alignment - ANSWER Positioning of joints, tendons, ligaments and muscles while
standing, sitting, or lying
Balance - ANSWER required to maintain a static position
What can affect balance? - ANSWER Medications, disease, injury, pain, developmental
stage, life changes etc.
Friction - ANSWER The Force occurring in the direction opposing movement
Greater the surface area, greater the friction
Shear - ANSWER Shear: bony structures move, but skin stays stationary
Nurses assess the pt to gather - ANSWER information about body alignment, balance,
gravity, and friction when implementing nursing interventions such as positioning
patients, determining the risk of patient falls, and selecting the safest way to move or
transfer patients.
Always consider what first? - ANSWER Safety!
Mobility refers to - ANSWER a person's ability to move about freely, and immobility
refers to the inability to do so
-a continuum
Factors affecting mobility - ANSWER Alterations or Injury to the musculoskeletal system
Impaired Central Nervous System (CNS)
Health status and age
, Therapeutic measure
Why is mobility a continuum? - ANSWER with mobility on one end, immobility on the
other, and varying degrees of partial immobility between the end points. Could be
temporary, permanent, sudden onset, slow onset etc.
Sometimes we use immobility as a - ANSWER therapeutic measure, i.e. the provider
prescribes Bed rest for the patient, to keep the patient safe in a particular
situation/instance.
Muscular reconditioning is associated with - ANSWER lack of physical activity can
appear as quickly as in a matter of days, and this can affect a number of body systems
Disuse atrophy - ANSWER describes the tendency of cells and tissue to reduce in size
and function in response to prolonged inactivity.
A pt with complete mobility restrictions is - ANSWER continually at risk for the hazards
of immobility. When possible, it is imperative that we mobilize patient's as soon as
possible.
please ensure you pay attention to interventions, specific devices etc located in your
book and modules as these are fair game for testing and board certification knowledge!
- ANSWER
Body system changes due to immobility - ANSWER Integumentary
Respiratory
Cardiovascular
Metabolic
Elimination
Gastrointestinal
Musculoskeletal
Neurological
Psychosocial
Developmental
Integumentary changes - ANSWER Major risk for pressure ulcers
Pressure ulcers - ANSWER Pressure ulcers: prolonged ischemia, inflammation, bony
prominence -> skin breakdown. Now lets think about shear again....
Pressure ulcers assessment - ANSWER Continually assess skin
