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Journal of Neuroscience Nursing:
doi: 10.1097/JNN.0000000000000060
CE Test: Online Only

Clinical Outcomes of Patient Mobility in a Neuroscience Intensive Care Unit

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Back to Top | Article Outline


GENERAL PURPOSE: To provide information about mobilization of patients treated in a Neurosceince Intensive Care Unit (NICU).

LEARNING OBJECTIVES: After reading the article and taking this test, the reader should be able to:

1. Describe this study’s design, previous study findings, and pathophysiology related to this research topic.

2. Recognize this study’s patient characteristics associated with mobility progression.

3. Identify the mobility outcome findings for this study’s patient population.

1. Data collection consisted of a survey that was administered

a. by computer.

b. for a psychological profile.

c. on the day of NICU admission.

d. to determine highest level of mobility.

2. Which characteristic of the NICU study sample is accurate?

a. 53.6% female

b. 66.4% Hispanic

c. 64 years median age

d. 1,200 subjects

3. Patients in the study sample had a median length of stay in the NICU of

a. 2 days.

b. 4 days.

c. 7 days.

d. 9 days.

4. In this study, the majority of NICU patients

a. were turned every 2 hours.

b. progressed beyond bed mobility.

c. could not raise the head of bed above 30 degrees.

d. being treated with mechanical ventilation achieved higher mobility status.

5. Results of this study showed that less mobility was associated with

a. male gender.

b. longer unit stay.

c. mechanical ventilation.

d. depressed psychological profile.

6. Which of the following was associated with the most mobility?

a. female gender

b. high Apache score

c. discharge to home

d. mechanical ventilation

7. This study found that nearly 40% of the NICU patients

a. walked independently.

b. ambulated with assistance.

c. had the head of the bed elevated over 45 degrees.

d. never progressed beyond bed movement.

8. The percentage of patients in this study who progressed to walking was

a. 10%.

b. 25%.

c. 50%.

d. 80%.

9. Limited mobility progression was associated with

a. patient characteristics.

b. poorer clinical outcomes.

c. lower socioeconomic status.

d. psychological profiles showing anxiety.

10. After immobilization, muscle atrophy begins within

a. minutes.

b. hours.

c. days.

d. weeks.

11. The percentage of muscle strength loss that occurs with each week of bed rest is

a. 4%–5%.

b. 11%–12%.

c. 25%–26%.

d. 31%–32%.

12. Previous studies showed that early mobility was associated with

a. more ventilator days.

b. longer length of NICU stay.

c. higher daily sedative doses.

d. reduced overall hospital costs.

13. Results of this study showed a trend toward higher mobility in the NICU with

a. anxious patients.

b. younger patients.

c. patients with more comorbidities.

d. patients with higher Apache III scores.

14. The Apache III score of 59.3 ± 24 was

a. low for a NICU.

b. average for a NICU.

c. high for a NICU.

d. not comparable to other ICUs.

15. In this study, the vast majority of NICU patients

a. ambulated independently.

b. had the head of the bed >45 degrees.

c. did not progress past dangling legs.

d. progressed more than Level II group.

16. The highest mobility group status had

a. shorter lengths of stay.

b. higher 30-day mortality.

c. been transferred for rehabilitation.

d. been moved to an extended care facility.

17. Previous studies showed that nurses may be uncomfortable with mobilizing patients

a. who have family visiting.

b. with multiple devices.

c. who have an infection.

d. with certain types of disabilities.

18. The Apache III score addresses

a. illness severity.

b. mechanical ventilation.

c. activities of daily living.

d. psychological well-being.

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© 2014 American Association of Neuroscience Nurses


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