Deck 19: Activity and Exercise

Question 1

At least how many minutes of daily activity is recommended for a 75-year-old woman?

A) 15
B) 90
C) 30
D) 45

Answer 1

30

Question 2

What are the overall goals in caring for a patient with impaired physical mobility? (Select all that apply.)

A) Increasing the patient's participation in physical activities
B) Preserving the patient's anatomical position and function of joints
C) Increasing the patient's former level of mobility
D) Avoiding unnecessary restraints
E) Using assistive devices to maintain mobility

Answer 2

Increasing the patient's participation in physical activities
Preserving the patient's anatomical position and function of joints
Avoiding unnecessary restraints
Using assistive devices to maintain mobility

Question 3

A 70-year-old woman with painful arthritic joints asks the nurse what would be the most beneficial exercise for her based upon her disability. What would be the most appropriate suggestion of the nurse?

A) Train with hand weights.
B) Walk on a treadmill.
C) Do low-impact aerobics.
D) Swim.

Answer 3

Swim.

Question 4

Why is an arthritic patient less likely to exercise?

A) Fragility of the bones puts the patient at risk for fractures.
B) Numbness in the feet and legs puts the patient at risk for a fall.
C) Stiffened ligaments and tendons put the patient at risk for reduced flexibility.
D) Moving heavy edematous limbs puts the patient at risk for fatigue.

Question 5

What is the focus of aerobic exercises such as walking and biking?

A) Improve cardiovascular function
B) Build muscle mass
C) Improve dexterity
D) Enhance balance

Question 6

An older adult is performing isometric and isotonic exercises. What should the nurse suggest in order to prevent an accidental Valsalva maneuver?

A) Hold the breath during an exercise cycle.
B) Breathe through the mouth.
C) Breathe deeply and rhythmically during an exercise cycle.
D) Breathe in through the nose and out through the mouth.

Question 7

What activity would be the most difficult for an older woman who has diminished dexterity?

A) Working a crossword puzzle
B) Playing a round of golf
C) Taking a walk
D) Painting with watercolors

Question 8

What are the effects of decreased speed impulses in the older adult?

A) A "scrambled" message in the brain
B) Longer time required to complete an activity
C) Increased confusion
D) Forget how to complete an activity

Question 9

What benefit is there for an older adult to participate in balance training?

A) Increase peripheral circulation
B) Increase strength
C) Decrease the incidence of falls
D) Eliminate the need for ambulatory assistive devices

Question 10

On what day should an outing to the park for a group of older adults be canceled?

A) 75-degree sunny day in Texas
B) 70-degree cloudy day in Oregon
C) 80-degree sunny day in Florida
D) 75-degree ozone alert day in California

Question 11

The fiercely independent 90-year-old woman who is recovering from a stroke frequently ambulates without the use of her walker because she says it is ugly and cumbersome. What would be the most effective intervention of the nurse?

A) Allow her to ambulate independently.
B) Place a gait belt around her and ambulate when she does.
C) Bring her walker to her and remind her that the walker is for her safety.
D) Instruct her to use a wheelchair for mobility.

Question 12

What are the benefits of regular exercise? (Select all that apply.)

A) Maintenance of joint mobility
B) Enhancement of muscle tone
C) Promotion of sense of general well-being
D) Guarantee of weight loss
E) Promotion of regular elimination

Question 13

What action by the 75-year-old would indicate that an appropriate action has been taken to combat reduced stamina?

A) Moving his home office to a downstairs location
B) Using public transportation rather than driving his own car
C) Tilling the garden plot with a motor-driven tiller
D) Visiting the senior center twice in 1 week to play dominoes

Question 14

The nurse directs an 80-year-old recovering from a fractured pelvis to participate in several isometric exercises to maintain muscle strength, such as

A) alternately tightening and relaxing the abdominal muscles.
B) lifting the body up off the bed using an overhead trapeze.
C) pushing against the bed to lift the buttocks off the bed a few inches.
D) pressing the sole of the foot against a footboard.

Question 15

What should the nurse consider when planning an exercise program for a person with activity intolerance? (Select all that apply.)

A) Identification of factors that contribute to activity intolerance
B) Arranging activities that progress from mild to more demanding
C) Rapid pacing activities to build up stamina
D) Individualizing the plan to include activities that the patient particularly likes
E) Including the patient in the planning phase

Question 16

What are the causes of altered oxygen exchange, and resulting lessened stamina, in the older adult? (Select all that apply.)

A) Flattened diaphragm
B) Loss of elasticity in the lung
C) Nutritional deficiencies
D) Decrease in size of chest cavity
E) Fragility of capillaries

Question 17

What factors should the older adult consider when planning an exercise program? (Select all that apply.)

A) Purchasing weights
B) Wearing clothing appropriate to the type of exercise
C) Considering membership in a health club
D) Establishing realistic goals
E) Committing time for consistent regular exercise

Question 18

What would be the most appropriate exercise suggestion for the older adult who wants to build muscle mass?

A) Aerobic class
B) Stretching exercises
C) Strength training
D) Tai chi

Question 19

What would be included in a plan of care that is custodial in its focus?

A) Attention to high-level wellness
B) Plans for physiologic and safety concerns
C) Aggressive rehabilitation goals
D) Patient participation in his or her own care

Question 20

When the 65-year-old patient who is a type 1 diabetic informs the home health nurse that he now exercises for 1 hour a day at a club, the nurse cautions him to be sure to

A) drink plenty of fluids.
B) wear clothing that allows ventilation.
C) take hard candy to the gym when he exercises.
D) give himself less insulin than is prescribed.

Question 21

What are goals of rehabilitative nursing? (Select all that apply.)

A) Minimize the impact of disability
B) Return to maximum level of function
C) Increase level of independence
D) Adjust to change in lifestyle
E) Increase control of their life

Question 22

To increase safe mobility for a patient recovering from a fractured left hip, the nurse would instruct the patient to place the cane on the __________ side.

Question 23

What are the long-term goals for rehabilitation? (Select all that apply.)

A) Prevention of further disability
B) Modifying the impact of the disability on lifestyle
C) Supporting adaptation to a changed lifestyle
D) Focusing on a complete return to the former level of activity
E) Reestablishing the patient's control of her or his life

Question 24

How can the nurse demonstrate a positive attitude toward care planning? (Select all that apply.)

A) Acknowledge the impact of a traumatic amputation on therapy.
B) Encourage the resident's input on the care plan.
C) Invite the resident and family member to attend the care plan meetings.
D) Make a list of questions for the resident to ask at the care plan meeting.
E) Help the resident to perform all activities of daily living (ADLs).