Deck 10: Rest, Sleep, and Activity

Question 1

During the night, an older female adult complains to the nurse that she has not slept more than two hours since her admission to the hospital. Which intervention should the nurse implement to increase the duration of this woman's sleep?

A) Inquire about the sleep habits used at home.
B) Suggest that she avoid napping during the day.
C) Tell her that sleep is fragmented in older people.
D) Offer her a book or suggest she watch a movie.

Answer 1

Inquire about the sleep habits used at home.

Question 2

The older adult residents of an assisted-living facility are preparing for a 14-day trip to Europe. Which of the following is the most important exercise for the nurse to recommend for the group?

A) Practise standing on one foot for 30 seconds.
B) Move light weights in a rowing motion eight times.
C) Stretch the hips by pulling the knee to the chest.
D) Swim laps in the pool for ten minutes continuously.

Answer 2

Swim laps in the pool for ten minutes continuously.

Question 3

Which of the following is important to include in the initial assessment for older adults who are frail and are beginning an exercise program?

A) Exercise tolerance testing (ETT)
B) The older adult's financial ability to pay for training sessions
C) A medical history and physical examination
D) Pulmonary function tests (PFTs)

Answer 3

A medical history and physical examination

Question 4

An older female adult maintains an active lifestyle, playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night. Which intervention should the nurse implement to improve the quality of this woman's sleep?

A) Recommend preparation for sleep.
B) Suggest trying a cup of warm milk at bedtime.
C) Inquire about her nightly sleep habits.
D) Propose volunteer work at a thrift shop.

Question 5

Which of the following should the nurse recommend as a moderate-intensity exercise for older adults who are ambulatory and in good health?

A) Walk 5 to 6 km in 60 minutes.
B) Work in the garden for 50 minutes.
C) Participate in endurance exercises and increase time gradually.
D) Wash and wax the car for 75 minutes.

Question 6

The nurse at an assisted-living facility uses the Exercise and Screening for You (EASY) tool to plan an exercise program for an older adult resident who is in good health except that her height has decreased 1.5 cm. Which exercise safety tip from EASY calls for the nurse to assess the resident before planning care?

A) Do not exercise a red, warm, or swollen joint.
B) Avoid stretches that cause you to bend at the waist.
C) Evaluate your surroundings for outdoor exercising.
D) Begin by warming up with low to moderate exercises.

Question 7

An older man has Alzheimer's disease, and his wife says he is up and wandering around the house at night. Which intervention should the nurse implement to increase the older adult man's duration of sleep?

A) Instruct the wife to increase her husband's daily physical activity.
B) Collaborate with the health care provider to administer a hypnotic.
C) Teach the wife how to apply a vest restraint during sleep.
D) Help the wife plan daily periods for napping and activity.

Question 8

Which of the following statements is true about sleep in older adults?

A) The time spent in bed increases, but the time spent asleep decreases.
B) The amount of leg movement during sleep remains steady throughout life.
C) Rapid-eye-movement (REM) sleep increases with age.
D) The amount of stage III sleep increases steadily throughout life.

Question 9

An older adult who is overweight and hypertensive awakens abruptly during the night with gasping and choking. Which action should the nurse implement to manage this patient's signs and symptoms?

A) Obtain a 12-lead electrocardiogram (ECG).
B) Administer an anti-anxiety medication.
C) Raise the head of the patient's bed to 30 degrees.
D) Offer a cool cloth and refresh the patient's bed linens.

Question 10

Which factor contributes to sleep problems in older adults?

A) Excessive napping
B) Daily exercise
C) Lethargy
D) Rapid eye movement (REM)

Question 11

What is the difference between rest and sleep?

A) Sleep occurs with rest.
B) Rest is an extension of sleep.
C) Rest occurs only in brief periods.
D) Sleep is restorative and recuperative.