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chapter 19

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college Geriatrics Quiz on chapter 19 , created by nursing fairy on 19/10/2014.
nursing fairy
Quiz by nursing fairy , updated more than 1 year ago
nursing fairy
Created by nursing fairy over 9 years ago
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Question 1

Question
The nurse explains that the slowed speed of nerve impulses will cause the older adult to:
Answer
  • get a “scrambled” message in the brain.
  • take longer to complete an activity.
  • become confused.
  • forget how to complete the activity.

Question 2

Question
The nurse takes into consideration that the arthritic patient may be less likely to exercise because:
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
The home health nurse recognizes that the 75-year-old male patient has made an adjustment to reduced stamina when he:
Answer
  • 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.

Question 4

Question
The nurse explains that the focus of aerobic exercises such as walking and biking is to:
Answer
  • improve cardiovascular function.
  • build muscle mass.
  • improve dexterity.
  • enhance balance.

Question 5

Question
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:
Answer
  • training with hand weights.
  • walking on a treadmill.
  • low-impact aerobics.
  • swimming.

Question 6

Question
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.
Answer
  • aerobic
  • stretching
  • resistance
  • 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
  • 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.

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

Question 10

Question
Balance training will help the older adult recovering from a prolonged period of immobility related to a broken hip to:
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. The nurse’s most effective intervention would be to:
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 for mobility.

Question 12

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

Question 13

Question
The care plan that is custodial in its focus is characterized by:
Answer
  • attention to high-level wellness.
  • plans for physiologic and safety concerns.
  • aggressive rehabilitation goals.
  • patient participation in his or her own care.

Question 14

Question
The older woman who has diminished dexterity would find the activity of _____ the most frustrating and difficult.
Answer
  • working a crossword puzzle
  • playing a round of golf
  • playing the piano
  • painting with watercolors

Question 15

Question
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.
Answer
  • 15
  • 20
  • 30
  • 45

Question 16

Question
The home health nurse points out the benefits of regular exercise, which include __________. (Select all that apply.)
Answer
  • maintenance of joint mobility
  • enhancement of muscle tone
  • promotion of sense of general well-being
  • guarantee of weight loss
  • promotion of regular elimination

Question 17

Question
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.)
Answer
  • flattened diaphragm
  • loss of elasticity in the lung
  • nutritional deficiencies
  • decrease in size of chest cavity
  • fragility of capillaries

Question 18

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

Question 19

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

Question 20

Question
When planning an exercise program for a person with activity intolerance, the nurse would consider __________. (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 to build up stamina
  • individualizing the plan to include activities that the patient particularly likes
  • including the patient in the planning phase

Question 21

Question
The long-term goals for rehabilitation are __________. (Select all that apply.)
Answer
  • 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

Question 22

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

Question 23

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