Deck 9: Activity, Rest, and Sleep As Criteria for Health

Question 1

A group of older community members is taking a walk through the neighborhood arboretum. Which type of activity are these individuals engaging in?
1) Endurance
2) Balance training
3) Muscle lengthening
4) Flexibility exercises

Answer 1

1

Question 2

An older patient with gastroesophageal reflux disease (GERD) and heart failure complains of insomnia and of always feeling tired. What should the nurse suggest to help the patient sleep better?
1) Lie on the left side.
2) Take a long-lasting analgesic before bed.
3) Take antacids before bed to relieve gastric reflux.
4) Raise the head of the bed so that the upper body is elevated.

Answer 2

4

Question 3

The nurse is preparing a community program focusing on the importance of physical activity for older people with chronic health problems. Which health problems should the nurse highlight as being the most common in this age group? Select all that apply.
1) Arthritis
2) Diabetes
3) Hypertension
4) Prostate cancer
5) Urinary incontinence

Answer 3

1, 2, 3

Question 4

An older person notices that after working in the garden she has to sit and rest for a few minutes. What should the nurse say in response to this patient?
1) "This means that you are not eating enough."
2) "It might be that the gardening will need to be given up if it is too tiring for you."
3) "That's an abnormal behavior that should be investigated by your health-care provider."
4) "This means you are moderating activity with rest to stay energized throughout the day."

Question 5

An older person attends yoga three times a week. Which type of activity is this person participating in?
1) Flexibility
2) Endurance
3) Circuit training
4) Muscle building

Question 6

During a home visit the nurse suspects that an older person is participating in routine physical activity. What did the nurse observe to come to this conclusion? Select all that apply.
1) Asks a grandson to help him stand up
2) Weight loss of 2 pounds over the last month
3) Rests on a walker after moving a few feet
4) Able to bend down to pick up the newspaper
5) Recalls when the next health-care appointment is scheduled

Question 7

The nurse is assigning tasks to nursing assistants in a nursing home. Which would be the most appropriate instruction to give to the assistant who will care for a frail 80-year-old woman with arthritis?
1) Help her to use a bedpan.
2) Bring her meal trays to the bed.
3) Give her a bed bath, comb her hair, and brush her teeth.
4) Let the patient do as much as she can for mouth and personal care and toileting.

Question 8

The spouse of an older patient asks the nurse why the patient is shaking the cans of soup so much every day. How should the nurse respond to the spouse?
1) "That's to keep her arms limber."
2) "That's being done to increase elbow flexibility."
3) "That's an exercise using a can of soup as a weight."
4) "That's to make sure the contents that have settled are dispersed throughout the soup."

Question 9

An older patient desires to increase tolerance for walking but becomes fatigued with short distances. What should the nurse suggest to this patient?
1) Walk in a mall, stopping when necessary to sit.
2) Walk 10 feet to the mailbox several times a day.
3) Walk in the park and stop periodically to sit on a bench.
4) Walk in the grocery store using a cart for stability and support.

Question 10

An older male patient with obesity reports feeling tired all of the time, even in the morning. The patient's spouse says he snores loudly. What disorder should the nurse suspect?
1) GERD
2) Dementia
3) Sleep apnea
4) Periodic limb movement disorder

Question 11

The nurse observes that an older patient is increasingly irritable, does not want to participate in routine activities, and is frequently napping. What should the nurse do to help this patient?
1) Encourage more napping.
2) Restrict interaction with other people.
3) Reduce the amount of daytime activities.
4) Provide uninterrupted sleep during the night.

Question 12

An older patient tells the nurse that sleep is optional because moving in bed is painful. What should the nurse do first to help this patient?
1) Assess pain level.
2) Provide pain medication.
3) Review the causes of the pain.
4) Discuss pain management strategies.

Question 13

An older patient with chronic obstructive pulmonary disease and degenerative arthritis affecting her lower back and legs is unable to exercise and has someone deliver food and other necessities. Which interventions are appropriate to help improve this patient's physical status? Select all that apply
1) Consider moving to an assisted living facility.
2) Discuss family members who can move in to help her.
3) Explain activities such as using a walker for shopping.
4) Encourage getting out of the house to interact with others.
5) Suggest that she accept her limitations and live as best she can.

Question 14

An older patient reports engaging in physical activity 15 minutes every day. What should the nurse say in response to this patient's activity level?
1) "That's all you need!"
2) "You need to increase that to 30 minutes every day."
3) "Why so much? Fifteen minutes every other day would be better."
4) "Just 7 more minutes a day and then you will be right on target."

Question 15

The nurse is aware of an older patient having difficulty with upper arm mobility. Which activity should the nurse encourage to help this patient?
1) Tie shoes.
2) Comb hair.
3) Put on socks.
4) Flex the ankles.