Djrakeiah Montgomery
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Quiz on Chapter 19, created by Djrakeiah Montgomery on 17/04/2023.

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Chapter 19

Chapter 19

Question 1 of 24

1

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

Select one of the following:

  • A “scrambled” message in the brain

  • Longer time required to complete an activity

  • Increased confusion

  • Forget how to complete an activity

Explanation

Question 2 of 24

1

Why is an arthritic patient less likely to exercise?

Select one of the following:

  • 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.

Explanation

Question 3 of 24

1

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

Select one of the following:

  • Moving his home office to a downstairs location

  • Using public transportation rather than driving his own car

  • Tilling the garden plot with a motor-driven tiller

  • Visiting the senior center twice in 1 week to play dominoes

Explanation

Question 4 of 24

1

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

Select one of the following:

  • improve cardiovascular function

  • build muscle mass

  • improve dexterity

  • enhance balance

Explanation

Question 5 of 24

1

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

Select one of the following:

  • train with hand weights

  • walk on a treadmill

  • do low-impact aerobics

  • swim

Explanation

Question 6 of 24

1

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

Select one of the following:

  • aerobic class

  • stretching exercises

  • strength training

  • Tai chi

Explanation

Question 7 of 24

1

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

Select one of the following:

  • drinks plenty of fluids

  • wear clothing that allows ventilation

  • take hard candy to the gym when he exercises

  • give himself less insulin than prescribed

Explanation

Question 8 of 24

1

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

Select one of the following:

  • 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

Explanation

Question 9 of 24

1

An older adult is preforming isometric and isotonic exercises. what should the nurse suggest in order to prevent an accidental valsalva maneuver?

Select one of the following:

  • hold the breath during an exercise cycle

  • breath through the mouth

  • breath deeply and rhythmically during an exercise cycle

  • breathe in through the nose and out through the mouth

Explanation

Question 10 of 24

1

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

Select one of the following:

  • increase peripheral circulation

  • increase strength

  • decrease the incidence of falls

  • eliminate the need for ambulatory assistive devices

Explanation

Question 11 of 24

1

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?

Select one of the following:

  • 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

Explanation

Question 12 of 24

1

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

Select one of the following:

  • 75-degree sunny day in texas

  • 70-degree cloudy day in oregon

  • 80-degree sunny day in florida

  • 75-degree ozone alert in california

Explanation

Question 13 of 24

1

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

Select one of the following:

  • attention to high-level wellness

  • plans for physiologic and safety concerns

  • aggressive rehabilitation goals

  • patient participates in his or own care

Explanation

Question 14 of 24

1

what activity would be the most difficult for an older woman who has finished dexterity?

Select one of the following:

  • working a crossword puzzle

  • playing a round of golf

  • taking a walk

  • painting with watercolors

Explanation

Question 15 of 24

1

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

Select one of the following:

  • 15

  • 90

  • 30

  • 45

Explanation

Question 16 of 24

1

ADD E ANWSER what are benefits of regular exercise? (Select all that apply)

Select one or more of the following:

  • maintenance of joint mobility

  • enhancement of muscle tone

  • promotion of sense of general well-being

  • guaranteed weight loss

Explanation

Question 17 of 24

1

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

Select one or more of the following:

  • flatted diaphragm

  • loss of elasticity in the lung

  • nutritional deficiencies

  • decrease in size of chest cavity

  • fragility of capillaries

Explanation

Question 18 of 24

1

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

Select one or more of the following:

  • purchasing weights

  • wearing clothing appropriate for the type of exercise

  • considering membership in a health club

  • establishing realistic goals

  • committing time for consistent regular exercise

Explanation

Question 19 of 24

1

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

Select one or more of the following:

  • increasing the patients participation in physical activities

  • preserving the patients anatomical position and function of joints

  • increasing patients former level of mobility

  • avoiding unnecessary restraints

  • including the patient in the planning phase

Explanation

Question 20 of 24

1

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

Select one or more of the following:

  • identification of factors that contribute to activity intolerance

  • arranging activities that progress from mild to more demanding

  • rapid pacing activities that build up stamina

  • individualizing the plan to include activities that the patient particularly likes

  • including the patient in the planning phase

Explanation

Question 21 of 24

1

What are long-term goals for rehabilitation? (select all that apply)

Select one or more of the following:

  • prevention of further disability

  • modifying the impact of the disability on lifestyle

  • supporting adaptation of a changed lifestyle

  • focusing on a complete return to the former level of activity

  • reestablishing the patients control of her or his life

Explanation

Question 22 of 24

1

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

Select one or more of the following:

  • acknowledge the impact of a traumatic amputation on therapy

  • encourage the residents input on the care plan

  • invite the resident and family member to attend the care plan meeting

  • make a list of questions for the resident to ask at the care plan meeting

  • help the resident to perform all activities of daily living

Explanation

Question 23 of 24

1

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

Select one or more of the following:

  • 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

Explanation

Question 24 of 24

1

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: Right Side

Select one of the following:

  • True
  • False

Explanation

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