The nurse explains that the slowed speed of nerve impulses will cause the older adult to:
get a “scrambled” message in the brain.
take longer to complete an activity.
become confused.
forget how to complete the activity.
The nurse takes into consideration that the arthritic patient may be less likely to exercise because:
fragility of the bones puts the patient at risk for fractures.
numbness in the feet and legs puts the patient at risk for a fall.
stiffened ligaments and tendons put the patient at risk for reduced flexibility.
moving heavy edematous limbs puts the patient at risk for fatigue.
The home health nurse recognizes that the 75-year-old male patient has made an adjustment to reduced stamina when he:
moved his home office to a downstairs location.
used public transportation rather than driving his own car.
tilled the garden plot with a motor-driven tiller.
went to a senior center twice in 1 week to play dominoes.
The nurse explains that the focus of aerobic exercises such as walking and biking is to:
improve cardiovascular function.
build muscle mass.
improve dexterity.
enhance balance.
The nurse suggests to the 70-year-old woman who has painful arthritic joints that a beneficial exercise for her because of disability would be:
training with hand weights.
walking on a treadmill.
low-impact aerobics.
swimming.
When the older adult confides to the home health nurse that he wants to build muscle mass so that he can look good at the apartment pool, the nurse recommends _____ exercise.
aerobic
stretching
resistance
tai chi
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:
drink plenty of fluids.
wear clothing that allows ventilation.
take hard candy to the gym when he exercises.
give himself less insulin than is prescribed.
The nurse directs an 80-year-old recovering from a fractured pelvis to participate in several isometric exercises to maintain muscle strength, such as:
alternately tightening and relaxing the abdominal muscles.
lifting the body up off the bed using an overhead trapeze.
pushing against the bed to lift the buttocks off the bed a few inches.
pressing the sole of the foot against a footboard.
Because isometric and isotonic exercises can cause the patient to perform an accidental Valsalva maneuver, the nurse coaches the patient to:
hold the breath during an exercise cycle.
breathe through the mouth.
breathe deeply and rhythmically during an exercise cycle.
breathe in through the nose and out through the mouth.
Balance training will help the older adult recovering from a prolonged period of immobility related to a broken hip to:
increase peripheral circulation.
increase strength.
decrease the incidence of falls.
eliminate the need for ambulatory assistive devices.
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. The nurse’s most effective intervention would be to:
allow her to ambulate independently.
place a gait belt around her and ambulate when she does.
bring her walker to her and remind her that the walker is for her safety.
instruct her to use a wheelchair for mobility.
The nurse cancels the outing to the park for a group of older adults in a long-term care facility on a(n):
75-degree sunny day in Texas.
70-degree cloudy day in Oregon.
80-degree sunny day in Florida.
75-degree ozone alert day in California.
The care plan that is custodial in its focus is characterized by:
attention to high-level wellness.
plans for physiologic and safety concerns.
aggressive rehabilitation goals.
patient participation in his or her own care.
The older woman who has diminished dexterity would find the activity of _____ the most frustrating and difficult.
working a crossword puzzle
playing a round of golf
playing the piano
painting with watercolors
The home health nurse instructs the 75-year-old woman that daily exercise of a minimum of ____ minutes daily is as beneficial as a longer period of extreme exercise on an irregular basis.
15
20
30
45
The home health nurse points out the benefits of regular exercise, which include __________. (Select all that apply.)
maintenance of joint mobility
enhancement of muscle tone
promotion of sense of general well-being
guarantee of weight loss
promotion of regular elimination
The nurse takes into consideration that the lessened stamina of the older adult is related to an altered oxygen exchange resulting from __________. (Select all that apply.)
flattened diaphragm
loss of elasticity in the lung
nutritional deficiencies
decrease in size of chest cavity
fragility of capillaries
The nurse lists factors that the patient should consider when planning an exercise program, which are __________. (Select all that apply.)
purchasing weights
wearing clothing appropriate to the type of exercise
considering membership in a health club
establishing realistic goals
committing time for consistent regular exercise
The overall goals in caring for a patient with impaired physical mobility are __________. (Select all that apply.)
increasing the patient’s participation in physical activities
preserving the patient’s anatomical position and function of joints
increasing the patient’s former level of mobility
avoiding unnecessary restraints
using assistive devices to maintain mobility
When planning an exercise program for a person with activity intolerance, the nurse would consider __________. (Select all that apply.)
identification of factors that contribute to activity intolerance
arranging activities that progress from mild to more demanding
rapid pacing activities to build up stamina
individualizing the plan to include activities that the patient particularly likes
including the patient in the planning phase
The long-term goals for rehabilitation are __________. (Select all that apply.)
prevention of further disability
modifying the impact of the disability on lifestyle
supporting adaptation to a changed lifestyle
ocusing on a complete return to the former level of activity
reestablishing the patient’s control of her or his life
The rehabilitation nurse demonstrates a positive attitude toward care planning by __________. (Select all that apply.)
acknowledging the impact of a traumatic amputation on therapy
encouraging the resident’s input on the care plan
inviting the resident and family member to attend the care plan meetings
making a list of questions for the resident to ask at the care plan meeting
helping the resident to perform all activities of daily living (ADLs)
The nurse knows the goals of rehabilitative nursing include helping the patient to __________. (Select all that apply.)
minimize the impact of disability
return to maximum level of function
increase level of independence
adjust to change in lifestyle
increase control of their life
