The main aim of nursing care plan for assisted mobility at bed side would be?

GMCH Chandigarh - 2022

Nursing Foundation

Medium

Appeared in: GMCH Chandigarh - 2022

Explanation

The main aim of assisted mobility is multifaceted, addressing both physical maintenance and functional independence.
Performing active and passive range-of-motion (ROM) exercises is a critical intervention to prevent complications of immobility like joint contractures and muscle atrophy.
Promoting independence is the overarching goal, empowering the patient, improving psychological well-being, and working towards maximizing their functional ability.
These two aims are interconnected; the exercises (Option A) are the means to build the strength and function required to achieve independence (Option B).

Option A: This option is an essential intervention but not the complete aim. It focuses only on the physical task without including the patient-centered goal of independence.
Option B: This describes the ultimate goal but omits the specific, necessary interventions like ROM exercises that enable the patient to achieve that independence.
Option D: This is incorrect because both options A and B are valid and essential components of a comprehensive nursing care plan for assisted mobility.

Visual 1: Diagram - A nurse performing passive range-of-motion exercises on a patient's ankle and knee, with arrows indicating the direction of movement for dorsiflexion, plantar flexion, and knee flexion/extension.
Visual 2: Infographic - A side-by-side comparison of Active vs. Passive ROM, listing the patient's role, the nurse's role, and the primary benefits for each (e.g., Active ROM: builds muscle; Passive ROM: maintains flexibility).

Clinical Relevance

Nursing practice connection: Knowing Aims of nursing care for assisted mobility helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Early and consistent assisted mobility is a cornerstone of preventing hospital-acquired complications such as deep vein thrombosis (DVT), pressure injuries, atelectasis, and constipation.
Promoting independence in mobility and self-care activities is crucial for a patient's psychological health, reducing the risk of depression, anxiety, and feelings of powerlessness associated with illness and hospitalization.
What if? If the patient had an acute, unstable spinal cord injury, the primary aim would shift from promoting independence to ensuring strict spinal immobilization (e.g., using logrolling techniques). Active ROM would be contraindicated, and passive ROM would only be performed if specifically ordered and deemed safe by the medical team.

How to Approach the Question

First, identify the core of the question, which asks for the 'main aim' of a nursing care plan for assisted mobility.
Analyze each option individually. Option A describes a specific action (performing exercises). Option B describes a broader, patient-centered goal (promoting independence).
Recognize that comprehensive nursing care is holistic. It often involves performing specific tasks (interventions) to achieve a larger goal.
Evaluate if the options are mutually exclusive or complementary. In this case, performing exercises helps a patient become more independent. They work together.
When two options are both correct and complementary, look for a choice like 'Both a and b' or 'All of the above', as it often represents the most complete answer.
Conclude that combining the intervention (exercises) and the goal (independence) provides the most accurate description of the main aim.

Concept Tested & Keywords

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