NHA CPCT/A Knowledge Practice

FREE STUDY · 5.2 MIN LESSON

Mobility, Transfers & Fall Prevention

Read the lesson, then use the free narrated cards to check what you remember. Knowledge practice does not replace approved training, supervised practice or a competency assessment. Follow the rules for your role, state and workplace.

When is a gait belt appropriate during walking assistance?

  • Use a gait belt only when the assessed mobility plan calls for it and no contraindication is present.
  • Grip the belt to steady the person; it is not a device for lifting a dependent person’s full weight.
  • Do not pull on the arms.
  • Use the required equipment and assistance for the person’s ability.

What makes moving or transferring a resident safer?

  • Use the assessed transfer or mobility plan, required staff and appropriate equipment.
  • A gait belt assists balance during an appropriate transfer or walking task; it is not a device for lifting a dependent resident.
  • Good posture alone does not make a hazardous manual lift safe.

What must be checked before a stand-and-pivot transfer?

  • Confirm that the person can participate in the planned transfer and that the assessed method, equipment and staffing are appropriate.
  • Position the chair as directed, lock the brakes, move footrests out of the path and use a coordinated cue.
  • Do not attempt a manual pivot for someone who cannot safely support the required weight.

What makes mechanical-lift use safer?

  • Follow the assessed handling plan and the lift manufacturer’s instructions.
  • Use the correct compatible sling and required number of trained staff; inspect attachments before lifting.
  • Protect lines and limbs and never leave the person suspended unattended.
  • A universal two-person rule does not replace the equipment and care-plan requirements.

How do a cane and a walker move differently?

  • For the usual prescribed cane pattern, hold the cane on the stronger side and advance it with the weaker leg, then step with the stronger leg.
  • For a walker, advance the walker, step with the weaker leg, then the stronger leg as instructed.
  • Follow the therapist’s weight-bearing and device-specific plan.

What are the most important things a nurse aide does to prevent falls?

  • Follow the resident's fall-prevention and mobility plan.
  • Keep the call device accessible, remove obstacles, use appropriate footwear, and leave the bed in its planned safe position.
  • Secure wheelchair or bed brakes for transfers as instructed, and obtain the prescribed help or equipment.

What is the purpose of prescribed adaptive equipment?

  • It helps a person carry out activities with their available abilities.
  • Support use as taught instead of taking over a task the resident can do.

What is the difference between active and passive range-of-motion exercises, and what is the safety rule?

  • In active range of motion, the resident moves the joint; in passive range of motion, a trained caregiver moves it as directed.
  • Follow the plan, support the limb and move gently.
  • Stop for pain or resistance and report the problem; never force a joint beyond its comfortable range.

Why should skin under a prosthesis be checked?

  • Daily inspection can reveal redness, irritation or skin damage.
  • Follow the prescribed skin-care routine and report problems rather than ignoring them.

What should be checked with prescribed sequential compression sleeves?

  • Intermittent pneumatic compression sleeves inflate and deflate to support venous blood flow.
  • Follow the fitted-device and skin-check plan.
  • Report sleeves that are not cycling, fit too tightly or loosely, or cause new pain, numbness or tingling.
  • Do not independently change the prescribed regimen.

How should prescribed compression stockings fit?

  • Use the prescribed size and application method.
  • Smooth out wrinkles and avoid bunching or rolling the top, which can create tight bands.
  • Inspect the skin as directed and report pain, color changes or injury.
  • Do not choose compression strength independently.

What makes equipment-assisted patient transport safer?

  • Use the assessed transport method and required assistance.
  • Secure associated equipment, such as oxygen or IV poles, to the transport device as designed or have another caregiver move it.
  • Do not push one-handed while dragging separate equipment.
  • Apply brakes for the transfer and follow the device instructions.

Which changes under a splint need attention?

  • Follow the prescribed wearing and skin-check schedule.
  • Report new soreness, persistent redness, swelling, numbness or increasing pain; a splint that causes skin or circulation problems needs clinical review.
  • Do not independently reshape it or change weight-bearing instructions.

What do common body-position names mean?

  • Supine means lying on the back; prone means lying face down; lateral means side-lying.
  • Fowler’s positions raise the head and upper body.
  • Use the specific position, supports and angle in the care plan, protecting alignment, skin and attached equipment.
  • A position name alone does not establish what is safe for a particular patient.

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