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college Geriatrics Quiz on chapter 19 , created by nursing fairy on 10/19/2014.

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chapter 19

chapter 19

Question 1 of 23

1

The nurse explains that the slowed speed of nerve impulses will cause the older adult to:

Select one of the following:

  • get a “scrambled” message in the brain.

  • take longer to complete an activity.

  • become confused.

  • forget how to complete the activity.

Explanation

Question 2 of 23

1

The nurse takes into consideration that the arthritic patient may be less likely to exercise because:

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 23

1

The home health nurse recognizes that the 75-year-old male patient has made an adjustment to reduced stamina when he:

Select one of the following:

  • 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.

Explanation

Question 4 of 23

1

The nurse explains that the focus of aerobic exercises such as walking and biking is to:

Select one of the following:

  • improve cardiovascular function.

  • build muscle mass.

  • improve dexterity.

  • enhance balance.

Explanation

Question 5 of 23

1

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:

Select one of the following:

  • training with hand weights.

  • walking on a treadmill.

  • low-impact aerobics.

  • swimming.

Explanation

Question 6 of 23

1

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.

Select one of the following:

  • aerobic

  • stretching

  • resistance

  • tai chi

Explanation

Question 7 of 23

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:

  • 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.

Explanation

Question 8 of 23

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 23

1

Because isometric and isotonic exercises can cause the patient to perform an accidental Valsalva maneuver, the nurse coaches the patient to:

Select one of the following:

  • 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.

Explanation

Question 10 of 23

1

Balance training will help the older adult recovering from a prolonged period of immobility related to a broken hip to:

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 23

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. The nurse’s most effective intervention would be to:

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 for mobility.

Explanation

Question 12 of 23

1

The nurse cancels the outing to the park for a group of older adults in a long-term care facility on a(n):

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 day in California.

Explanation

Question 13 of 23

1

The care plan that is custodial in its focus is characterized by:

Select one of the following:

  • attention to high-level wellness.

  • plans for physiologic and safety concerns.

  • aggressive rehabilitation goals.

  • patient participation in his or her own care.

Explanation

Question 14 of 23

1

The older woman who has diminished dexterity would find the activity of _____ the most frustrating and difficult.

Select one of the following:

  • working a crossword puzzle

  • playing a round of golf

  • playing the piano

  • painting with watercolors

Explanation

Question 15 of 23

1

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.

Select one of the following:

  • 15

  • 20

  • 30

  • 45

Explanation

Question 16 of 23

1

The home health nurse points out the benefits of regular exercise, which include __________. (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

  • guarantee of weight loss

  • promotion of regular elimination

Explanation

Question 17 of 23

1

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.)

Select one or more of the following:

  • flattened diaphragm

  • loss of elasticity in the lung

  • nutritional deficiencies

  • decrease in size of chest cavity

  • fragility of capillaries

Explanation

Question 18 of 23

1

The nurse lists factors that the patient should consider when planning an exercise program, which are __________. (Select all that apply.)

Select one or more of the following:

  • 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

Explanation

Question 19 of 23

1

The overall goals in caring for a patient with impaired physical mobility are __________. (Select all that apply.)

Select one or more of the following:

  • 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

Explanation

Question 20 of 23

1

When planning an exercise program for a person with activity intolerance, the nurse would consider __________. (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 to 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 23

1

The long-term goals for rehabilitation are __________. (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 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

Explanation

Question 22 of 23

1

The rehabilitation nurse demonstrates a positive attitude toward care planning by __________. (Select all that apply.)

Select one or more of the following:

  • 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)

Explanation

Question 23 of 23

1

The nurse knows the goals of rehabilitative nursing include helping the patient to __________. (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

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