A nurse is assisting in performing a mobility assessment on a client. Which of the following data should the nurse collect as part of this assessment? (Select All that Apply.)
Explanation & Rationale
A. Evaluating a client’s ability to sit independently provides insight into core strength, balance, and postural control, all of which are key components of functional mobility. Limited ability to sit may indicate muscle weakness, neurological deficits, or risk for falls, which must be addressed in care planning. B. While health literacy is important for understanding medical instructions, it does not provide information about the client’s physical mobility or functional status. It is unrelated to the actual assessment of movement or support needs. C. Assessing skin integrity is essential during a mobility evaluation because immobility increases the risk of pressure injuries, skin breakdown, and circulation problems. Noting skin condition helps the nurse plan interventions such as repositioning schedules, pressure-relief devices, or skincare routines. D. Calcium intake influences bone density and long-term skeletal health, but it is not directly assessed in a mobility evaluation, which focuses on current functional capabilities rather than dietary factors. E. Determining how much help a client requires with activities of daily living (e.g., bathing, dressing, toileting) directly reflects functional mobility and independence. This information helps the healthcare team identify appropriate support levels, adaptive equipment needs, and safety precautions.