Mobility EXAM 2 Questions with Correct
Answers
inability to move about freely or "impaired or altered ability to engage in movement" -
Answer- immobility
an intervention that restricts clients for therapeutic reasons - Answer- bed rest
When starting assessment for mobility. Start where? and move towards? - Answer-
patient supine; towards more activity
What to do with hemiplegia-- based on walking points? - Answer- always stand on the
affected side of the client and use gait belt
What are the 8 independent risk factors for Hendrich II Fall Risk Model? - Answer- 1.
confusion, disorientation, impulsivity- 4
2. symptomatic depression-2
3. altered elimination-1
4. dizziness, vertigo- 1
5. male sex -1
6. administration of anti-epileptics- 2
7. administration of benzodiazepines- 1
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
Answers
inability to move about freely or "impaired or altered ability to engage in movement" -
Answer- immobility
an intervention that restricts clients for therapeutic reasons - Answer- bed rest
When starting assessment for mobility. Start where? and move towards? - Answer-
patient supine; towards more activity
What to do with hemiplegia-- based on walking points? - Answer- always stand on the
affected side of the client and use gait belt
What are the 8 independent risk factors for Hendrich II Fall Risk Model? - Answer- 1.
confusion, disorientation, impulsivity- 4
2. symptomatic depression-2
3. altered elimination-1
4. dizziness, vertigo- 1
5. male sex -1
6. administration of anti-epileptics- 2
7. administration of benzodiazepines- 1
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
