NFDN 1002 Unit 8 - Sleep, Activity, and
Mobility
Sleep promotion strategies - correct answer ✔Environment controls
(temperature, noise, light), bedtime routine, safety, comfort, establishing
periods of rest and sleep, stress reduction, bedtime snacks, sleep hygiene,
pharmacological approaches
Benefits of Mobility - correct answer ✔Increase CO -> increase blood flow to
all body tissues and improved venous return, increase RR and depth ->
improved oxygenation, improved muscle tone and strength, decrease bone
loss, prevention of constipation/DVT/PE
Types of Mobility - correct answer ✔Isometric contraction, isotonic
contraction
Isometric Contraction - correct answer ✔No joint movement, length of
muscle unchanged, aids in increase heart rate and CO, maintains muscle
strength and tone
Examples of Isometric Contraction - correct answer ✔Kegel's, holding
weights in fixed position, plants, wall sits, pushing against a surface (doors)
Isotonic Contraction - correct answer ✔Active movement, muscle contracts,
joints move. Used to prevent contractures - patients that may have paraplegia.
Builds muscle mass and strength.
Examples of Isotonic Contraction - correct answer ✔Walking/ROM active,
weight lifting
, Factors that limit mobility - correct answer ✔Musculoskeletal injury,
neurological injury, disease, surgery, developmental changes
Negative Effects of Immobility - Psychosocial - correct answer ✔Emotional
and behavioural effect: depression, frustration, agression, hopelessness.
Social isolation (loneliness).
Negative Effects of Immobility - Physiological - correct answer ✔Pressure
ulcers, weakened muscles, osteoporosis, DVT, pulmonary embolism,
hypotension, pneumonia
Interventions for immobility - correct answer ✔Ted stockings, passive and
active ROM, adjusting pt in bed,
Passive and Active ROM - correct answer ✔Assist to move joint through
ROM, support joint being used, never beyond normal limits, move joint
through all ROM by self.
Lateral - correct answer ✔To the side
Supine - correct answer ✔Laying on back
Prone - correct answer ✔Laying on stomach
Transferring - correct answer ✔Prior to transferring always assess clients
weight bearing ability, during transfer maintain proper body mechanics, do not
manually lift