Question 1

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

Accepted Answer

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. B

Question 2

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

Accepted Answer

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 B, C, D, E

Question 3

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

Accepted Answer

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 D

Question 4

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

Accepted Answer

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

Question 5

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

Accepted Answer

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 6

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

Accepted Answer

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 7

When the 65-year-old patient who has type 1 diabetes 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

Accepted Answer

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 8

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

Accepted Answer

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

Question 9

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

Accepted Answer

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 10

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?

Accepted Answer

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 11

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

Accepted Answer

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 12

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.

Accepted Answer

The answer of To increase safe mobility for a patient...

Question 13

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

Accepted Answer

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

Question 14

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

Accepted Answer

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 15

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

Accepted Answer

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 16

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

Accepted Answer

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) .

Question 17

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

Accepted Answer

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 18

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?

Accepted Answer

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

Question 19

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

Accepted Answer

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

Question 20

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

Accepted Answer

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

Exam 19: Activity and Exercise