Mobility and Restorative Care

Question 1

What is the goal of restorative care?

Answer 1

To help a person regain and maintain independence.

Encouraging mobility improves physical and emotional well-being.

Question 2

Which healthcare law requires facilities to provide restorative care?

Answer 2

The Omnibus Budget Reconciliation Act

(OBRA)

OBRA mandates care to prevent functional decline.

Question 3

List THREE effects of immobility.

Answer 3

1. Muscle atrophy
2. Pressure ulcers
3. Pneumonia

Prolonged immobility can lead to serious complications.

Immobility can also affect emotional well-being leading to issues such as depression.

Question 4

Fill in the blank:

Lack of activity can lead to _____, a condition where muscles shrink and weaken.

Answer 4

atrophy

Muscle atrophy makes movement and daily tasks difficult.

Question 5

Define:

range of motion

(ROM)

Answer 5

The extent to which a joint can move freely.

ROM exercises prevent stiffness and maintain mobility.

Question 6

Define:

passive range of motion

(PROM)

Answer 6

Exercises performed by a caregiver for a patient.

Used for patients who cannot move independently.

Question 7

Which type of ROM exercise allows the patient to move joints independently?

Answer 7

Active range of motion

(AROM)

Encourages strength and flexibility.

Question 8

How should range-of-motion exercises be performed?

Answer 8

Slowly and gently, stopping at signs of pain.

Sudden movements can cause injury.

Pain may indicate injury or strain.

Question 9

How should a patient be positioned before standing up?

Answer 9

Sitting on the edge of the bed with feet flat on the floor.

This prevents dizziness and promotes balance.

Question 10

Define:

body mechanics

Answer 10

The proper use of body movements to prevent injury.

Good body mechanics protect both caregivers and patients.

Back injuries are common during patient transfers due to improper body mechanics.

Question 11

How should a caregiver lift an object safely?

Answer 11

• Bend at the knees.
• Keep the back straight.
• Lift with the legs.

Proper lifting technique reduces strain and prevents injury.

Question 12

Why should patients change positions frequently?

Answer 12

To:

1. Prevent pressure ulcers.
2. Improve circulation.

Repositioning reduces the risk of complications from immobility.

Question 13

What is the correct way to transfer a patient from bed to wheelchair?

Answer 13

1. Use a transfer belt.
2. Lock the wheelchair.
3. Ensure proper footing.

Prevents falls and ensures a safe transfer.

Question 14

How should a wheelchair be positioned for a transfer?

Answer 14

At a 45-degree angle to the bed.

This positioning allows for an easier and safer transfer.

Question 15

What should a caregiver do if a patient begins to fall?

Answer 15

Ease them to the floor while protecting their head.

Trying to stop a fall abruptly can cause injury to both the patient and caregiver.

Question 16

How does mobility impact bowel and bladder function?

Answer 16

Movement stimulates digestion and prevents constipation.

Lack of mobility increases the risk of urinary retention and constipation.

Question 17

List TWO signs that a patient may need more mobility support.

Answer 17

1. Increased weakness.
2. Difficulty standing.

Observing changes helps caregivers adjust support as needed.

Other signs include increased fatigue and difficulty walking.

Question 18

List TWO benefits of using assistive devices.

Answer 18

1. Improves stability.
2. Promotes independence.

Devices like walkers and canes help maintain mobility.

Question 19

True or False:

A cane should be held on the weak side of the body.

Answer 19

False

A cane should be held on the strong side for proper support.

Question 20

Fill in the blank:

A ____ is used for people who need support on both sides while walking.

Answer 20

walker

Walkers provide stability and reduce fall risks.

Question 21

How should a walker be adjusted for proper fit?

Answer 21

The top of the walker should be level with the hip bone.

Proper height ensures safe and effective use.

The walker should be positioned about 6-8 inches ahead of the toes to maintain balance and stability while walking.

Question 22

What should caregivers monitor when a patient uses crutches?

Answer 22

Proper weight distribution and technique.

Incorrect use can cause strain and falls.

They should also ensure crutch tips are not worn or damaged to prevent falls.

Question 23

True or False:

Crutches should be placed under the armpits for support.

Answer 23

False

Crutches should rest against the sides, not the armpits, to prevent nerve damage.

Question 24

What is the purpose of a gait belt?

Answer 24

It provides secure support around the patient’s waist, facilitating a safer transfer without lifting the patient unnecessarily.

It is used to safely move a weak patient from a bed to a chair.

Question 25

# Define: ambulatory

Answer 25

The ability to **walk independently**. ## Footnote Some patients may be partially ambulatory with assistance.

Question 26

What should a caregiver check before **helping a patient walk**?

Answer 26

That the patient is wearing **non-skid footwear**. ## Footnote Proper footwear prevents slips and falls.

Question 27

List TWO benefits of walking **for older adults**.

Answer 27

1. Strengthens muscles. 1. Improves circulation. ## Footnote Walking also reduces the risk of osteoporosis.

Question 28

# Fill in the blank: Patients should be encouraged to walk **at least** ____ **times per day if able**.

Answer 28

two to three ## Footnote Frequent walking prevents complications of immobility.

Question 29

What should a caregiver do if a patient **refuses to walk**?

Answer 29

Encourage and **explain benefits**, but respect their decision. ## Footnote Patient cooperation is essential for successful mobility care.

Question 30

What is the best way to assist a patient **with Parkinson’s disease** in walking?

Answer 30

* Encourage slow and deliberate steps. * Provide a stable assistive device. ## Footnote Helps prevent shuffling and falls.

Question 31

# Define: contracture

Answer 31

The **permanent tightening** of muscles, tendons, or joints. ## Footnote Contractures result from prolonged immobility. It can be managed using ROM exercises.

Question 32

# Define: foot drop

Answer 32

A condition where the foot **cannot be lifted properly**. ## Footnote Can be prevented with positioning devices and exercises.

Question 33

What is a major complication of **prolonged wheelchair use**?

Answer 33

Pressure ulcers ## Footnote Regular repositioning reduces skin breakdown.

Question 34

Why should a patient be encouraged to **dangle their legs** before standing?

Answer 34

To prevent **dizziness and falls**. ## Footnote Dangling allows the body to adjust to an upright position.

Question 35

How can caregivers encourage movement **in bedridden patients**?

Answer 35

* Perform ROM exercises. * Encourage small movements. ## Footnote Maintaining joint flexibility prevents stiffness and contractures.

Question 36

# True or False: Resistance exercises can help **maintain muscle strength** in bedridden patients.

Answer 36

True ## Footnote Light resistance training prevents muscle atrophy.

Question 37

Why should caregivers encourage **ankle pumps** for immobile patients?

Answer 37

* To improve circulation. * To prevent blood clots. ## Footnote Simple movements help reduce venous stasis.

Question 38

Why is it important to **document mobility progress**?

Answer 38

To track improvements and **adjust care plans**. ## Footnote Accurate documentation ensures effective treatment.

Question 39

How can caregivers assist patients who **struggle with mobility tasks**?

Answer 39

Offer **encouragement** and assist only as needed. ## Footnote Supporting but not over-assisting fosters independence.

Question 40

Why is **hydration** important for mobility?

Answer 40

1. Prevents dizziness. 1. Maintains muscle function. ## Footnote Dehydration can lead to weakness and fatigue.

Question 41

How can **music or conversation** help with mobility exercises?

Answer 41

It provides **distraction** and motivation. ## Footnote Engaging patients makes exercises more enjoyable.

Question 42

Why should caregivers **observe a patient’s posture** while sitting?

Answer 42

**To prevent**: 1. Spinal strain. 1. Pressure ulcers. ## Footnote Proper posture reduces discomfort and long-term complications.

Question 43

How should a caregiver assist a **visually impaired patient** with mobility?

Answer 43

Use **verbal cues** and offer an **arm for guidance**. ## Footnote Helps the patient navigate safely.

Question 44

Why is **stretching** important for mobility?

Answer 44

It helps **maintain flexibility** and prevents stiffness. ## Footnote Stretching reduces the risk of injury and contractures.

Question 45

How can **resistance bands** be used in mobility exercises?

Answer 45

1. To strengthen muscles. 1. To improve endurance. ## Footnote Light resistance training benefits mobility and strength.

Question 46

What role does **core strength** play in mobility?

Answer 46

It helps maintain **balance and posture**. ## Footnote A strong core reduces fall risk and supports movement.

Question 47

What should be monitored when a patient uses **parallel bars** for therapy?

Answer 47

1. Proper posture. 1. Controlled movements. ## Footnote Parallel bars provide balance support during rehabilitation.

Question 48

How can a **tilt table** be used in mobility training?

Answer 48

It gradually helps patients **adjust to standing positions**. ## Footnote Useful for those with prolonged immobility.

Question 49

Why is **weight-bearing** important in mobility therapy?

Answer 49

It helps maintain **bone density** and strength. ## Footnote Weight-bearing activities prevent osteoporosis.