Chapter 25: Mobility
1. When the home care nurse notes that a widow of 3 months is not sleeping
well, has no appetite, and does not attend activities outside the home, the
nurse suspects the patient is experiencing
a. Depression
b. Dementia
c. Sensory overload
d. Sensory deprivation
CORRECT ANSWER: A
Feedback:
Severe affective disorders can hinder mobilit y. Depr ession and
catatonic states result in limited mobilit y not because of physical
impairments, but because the person lacks the desire to move.
2. A 20-year-old man driving a motorcycle loses control and hits a tree. He
states I cannot feel my arms or legs. He will likel y receive the diagnosis
of
a. Paraplegic
b. Hemiplegic
c. Monoplegic
d. Tetraplegic
CORRECT ANSWER: D
Feedback:
, Tetraplegia describes paral ysis of the arms and legs.
3. An 82-year-old woman is taking medication for her blood pressure and is
suffering from syncope. She is at risk for
a. Edema
b. Stroke
c. Fractures
d. Paral ysis
CORRECT ANSWER: C
Feedback:
Motor abilit y depends on the integrit y of the multisynaptic pathways of
the afferent and efferent nerves and the central integration provided by
the cerebral cortex. Balance and stabilit y are the products of
equilibrium, which can be affected by some medications.
4. When an elderl y patient walks with her knees slightl y flexed and body
leaning, the nurse determines that the patient
a. Should have an orthoped ic consultation
b. Is demonstrating a common gait for the elderl y
c. Requires a better walking shoe
d. Requires crutches for mobilit y
CORRECT ANSWER: B
Feedback:
Many older people have more difficult y overcoming inertia and using
gravit y efficientl y. One co ntributing factor is the shift in the center of
, gravit y. To compensate for this shift, the knees flex slightl y for
support.
5. A patient has been smoking for more than 40 years. He developed a bone
tumor in the right hip. What is the greatest risk the patie nt may
experience?
a. Fracture
b. Pain
c. Immobilit y
d. Numbness
CORRECT ANSWER: A
Feedback:
The bone tumor may cause pain, but the demineralization of the bone
will cause hip fracture.
6. To compensate for the shift in the center of gravit y, an older adult wi ll
a. Shift weight to the right side
b. Shift weight to the left side
c. Use a wider base of support
d. Flex the knees for support
CORRECT ANSWER: D
Feedback:
Many older people have more difficult y overcoming inertia and using
gravit y efficientl y. One contrib uting factor is the shift in the center of
1. When the home care nurse notes that a widow of 3 months is not sleeping
well, has no appetite, and does not attend activities outside the home, the
nurse suspects the patient is experiencing
a. Depression
b. Dementia
c. Sensory overload
d. Sensory deprivation
CORRECT ANSWER: A
Feedback:
Severe affective disorders can hinder mobilit y. Depr ession and
catatonic states result in limited mobilit y not because of physical
impairments, but because the person lacks the desire to move.
2. A 20-year-old man driving a motorcycle loses control and hits a tree. He
states I cannot feel my arms or legs. He will likel y receive the diagnosis
of
a. Paraplegic
b. Hemiplegic
c. Monoplegic
d. Tetraplegic
CORRECT ANSWER: D
Feedback:
, Tetraplegia describes paral ysis of the arms and legs.
3. An 82-year-old woman is taking medication for her blood pressure and is
suffering from syncope. She is at risk for
a. Edema
b. Stroke
c. Fractures
d. Paral ysis
CORRECT ANSWER: C
Feedback:
Motor abilit y depends on the integrit y of the multisynaptic pathways of
the afferent and efferent nerves and the central integration provided by
the cerebral cortex. Balance and stabilit y are the products of
equilibrium, which can be affected by some medications.
4. When an elderl y patient walks with her knees slightl y flexed and body
leaning, the nurse determines that the patient
a. Should have an orthoped ic consultation
b. Is demonstrating a common gait for the elderl y
c. Requires a better walking shoe
d. Requires crutches for mobilit y
CORRECT ANSWER: B
Feedback:
Many older people have more difficult y overcoming inertia and using
gravit y efficientl y. One co ntributing factor is the shift in the center of
, gravit y. To compensate for this shift, the knees flex slightl y for
support.
5. A patient has been smoking for more than 40 years. He developed a bone
tumor in the right hip. What is the greatest risk the patie nt may
experience?
a. Fracture
b. Pain
c. Immobilit y
d. Numbness
CORRECT ANSWER: A
Feedback:
The bone tumor may cause pain, but the demineralization of the bone
will cause hip fracture.
6. To compensate for the shift in the center of gravit y, an older adult wi ll
a. Shift weight to the right side
b. Shift weight to the left side
c. Use a wider base of support
d. Flex the knees for support
CORRECT ANSWER: D
Feedback:
Many older people have more difficult y overcoming inertia and using
gravit y efficientl y. One contrib uting factor is the shift in the center of
