HAC Mobility & Rehabilitation Assistance Flashcards

What is a contracture in the context of patient care?

Answer: A permanent shortening of a muscle or tendon causing limited joint movement

A contracture is a permanent shortening of soft tissue around a joint that results in reduced range of motion, often caused by prolonged immobility.

A patient is ordered to use a cane. On which side should the cane be held?

Answer: On the stronger side

A cane is held on the stronger side so it can bear weight and provide lateral support opposite the weaker leg during the gait cycle.

Which observation should a healthcare aide report immediately after a patient's first ambulation following surgery?

Answer: The patient reports dizziness and their face appears pale

Dizziness and pallor during ambulation can indicate orthostatic hypotension or other cardiovascular changes requiring prompt nursing assessment.

When assisting a patient who begins to fall, the healthcare aide should:

Answer: Ease the patient to the floor in a controlled manner while protecting their head

Controlled lowering to the floor protects both the patient from injury and the aide from musculoskeletal strain, while keeping the head from striking hard surfaces.

Which type of ROM exercise involves the patient doing the movement independently without assistance?

Answer: Active ROM

Active ROM is performed entirely by the patient using their own muscle strength, with no physical assistance from the aide.

How often should a bedridden patient's position be changed to prevent pressure injuries?

Answer: Every 2 hours

Repositioning every two hours relieves sustained pressure over bony prominences, which is the primary cause of pressure ulcer formation.