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Chapter 19

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Quiz on Chapter 19, created by Djrakeiah Montgomery on 17/04/2023.
Djrakeiah Montgomery
Quiz by Djrakeiah Montgomery, updated more than 1 year ago
Djrakeiah Montgomery
Created by Djrakeiah Montgomery over 1 year ago
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Resource summary

Question 1

Question
What are the effects of decreased speed impulses in the older adult?
Answer
  • A “scrambled” message in the brain
  • Longer time required to complete an activity
  • Increased confusion
  • Forget how to complete an activity

Question 2

Question
Why is an arthritic patient less likely to exercise?
Answer
  • 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.

Question 3

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

Question 4

Question
what is the focus of aerobic exercises such as walking and biking?
Answer
  • improve cardiovascular function
  • build muscle mass
  • improve dexterity
  • enhance balance

Question 5

Question
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?
Answer
  • train with hand weights
  • walk on a treadmill
  • do low-impact aerobics
  • swim

Question 6

Question
what would be the most appropriate exercise suggestion for the older adult who wants to build muscle mass?
Answer
  • aerobic class
  • stretching exercises
  • strength training
  • Tai chi

Question 7

Question
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
Answer
  • drinks plenty of fluids
  • wear clothing that allows ventilation
  • take hard candy to the gym when he exercises
  • give himself less insulin than prescribed

Question 8

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

Question 9

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

Question 10

Question
what benefit is there for an older adult to participate in balance training
Answer
  • increase peripheral circulation
  • increase strength
  • decrease the incidence of falls
  • eliminate the need for ambulatory assistive devices

Question 11

Question
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?
Answer
  • 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

Question 12

Question
on what day should an outing to the park for a group of older adults be canceled?
Answer
  • 75-degree sunny day in texas
  • 70-degree cloudy day in oregon
  • 80-degree sunny day in florida
  • 75-degree ozone alert in california

Question 13

Question
what would be included in a plan of care that is custodial in its focus
Answer
  • attention to high-level wellness
  • plans for physiologic and safety concerns
  • aggressive rehabilitation goals
  • patient participates in his or own care

Question 14

Question
what activity would be the most difficult for an older woman who has finished dexterity?
Answer
  • working a crossword puzzle
  • playing a round of golf
  • taking a walk
  • painting with watercolors

Question 15

Question
at least how many minutes of daily activity is recommended for a 75-year-old woman?
Answer
  • 15
  • 90
  • 30
  • 45

Question 16

Question
ADD E ANWSER what are benefits of regular exercise? (Select all that apply)
Answer
  • maintenance of joint mobility
  • enhancement of muscle tone
  • promotion of sense of general well-being
  • guaranteed weight loss

Question 17

Question
what are causes of altered oxygen exchange, and resulting lessened stamina, in the other adult? (Select all that apply)
Answer
  • flatted diaphragm
  • loss of elasticity in the lung
  • nutritional deficiencies
  • decrease in size of chest cavity
  • fragility of capillaries

Question 18

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

Question 19

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

Question 20

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

Question 21

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

Question 22

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

Question 23

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

Question 24

Question
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
Answer
  • True
  • False
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