When preparing to conduct a general mobility assessment, when should the assessment begin?

• A. Before the client gets out of bed
• B. While the client is lying in bed
• C. During ambulation in the hallway
• D. After the client is seated in a chair

Answer: (B)

Starting while the client is lying in bed lets you observe bed mobility basics first, when gravity is less of a factor and you can see how they initiate movement, control their trunk and limbs, and achieve a position change safely. This initial observation reveals baseline strength, range of motion, coordination, pain, and the amount of assistance needed for transitions to sitting. It also helps plan safe progressions to standing, transfers, and ambulation. Waiting until they are standing, ambulating, or seated misses how they actually get out of bed and can mask early limitations or safety risks. So begin with the client in bed, assess bed mobility and the transition to sitting, then build from there.