Quiz
chapter 19
Questions in this quiz (23)
1The nurse explains that the slowed speed of nerve impulses will cause the older adult to:
- Aget a “scrambled” message in the brain.
- Btake longer to complete an activity.
- Cbecome confused.
- Dforget how to complete the activity.
2The nurse takes into consideration that the arthritic patient may be less likely to exercise because:
- Afragility of the bones puts the patient at risk for fractures.
- Bnumbness in the feet and legs puts the patient at risk for a fall.
- Cstiffened ligaments and tendons put the patient at risk for reduced flexibility.
- Dmoving heavy edematous limbs puts the patient at risk for fatigue.
3The home health nurse recognizes that the 75-year-old male patient has made an adjustment to reduced stamina when he:
- Amoved his home office to a downstairs location.
- Bused public transportation rather than driving his own car.
- Ctilled the garden plot with a motor-driven tiller.
- Dwent to a senior center twice in 1 week to play dominoes.
4The nurse explains that the focus of aerobic exercises such as walking and biking is to:
- Aimprove cardiovascular function.
- Bbuild muscle mass.
- Cimprove dexterity.
- Denhance balance.
5The nurse suggests to the 70-year-old woman who has painful arthritic joints that a beneficial exercise for her because of disability would be:
- Atraining with hand weights.
- Bwalking on a treadmill.
- Clow-impact aerobics.
- Dswimming.
6When 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.
- Aaerobic
- Bstretching
- Cresistance
- Dtai chi
7When 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:
- Adrink plenty of fluids.
- Bwear clothing that allows ventilation.
- Ctake hard candy to the gym when he exercises.
- Dgive himself less insulin than is prescribed.
8The nurse directs an 80-year-old recovering from a fractured pelvis to participate in several isometric exercises to maintain muscle strength, such as:
- Aalternately tightening and relaxing the abdominal muscles.
- Blifting the body up off the bed using an overhead trapeze.
- Cpushing against the bed to lift the buttocks off the bed a few inches.
- Dpressing the sole of the foot against a footboard.
9Because isometric and isotonic exercises can cause the patient to perform an accidental Valsalva maneuver, the nurse coaches the patient to:
- Ahold the breath during an exercise cycle.
- Bbreathe through the mouth.
- Cbreathe deeply and rhythmically during an exercise cycle.
- Dbreathe in through the nose and out through the mouth.
10Balance training will help the older adult recovering from a prolonged period of immobility related to a broken hip to:
- Aincrease peripheral circulation.
- Bincrease strength.
- Cdecrease the incidence of falls.
- Deliminate the need for ambulatory assistive devices.
11The 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:
- Aallow her to ambulate independently.
- B place a gait belt around her and ambulate when she does.
- C bring her walker to her and remind her that the walker is for her safety.
- Dinstruct her to use a wheelchair for mobility.
12The nurse cancels the outing to the park for a group of older adults in a long-term care facility on a(n):
- A75-degree sunny day in Texas.
- B70-degree cloudy day in Oregon.
- C80-degree sunny day in Florida.
- D75-degree ozone alert day in California.
13The care plan that is custodial in its focus is characterized by:
- Aattention to high-level wellness.
- Bplans for physiologic and safety concerns.
- Caggressive rehabilitation goals.
- Dpatient participation in his or her own care.
14The older woman who has diminished dexterity would find the activity of _____ the most frustrating and difficult.
- Aworking a crossword puzzle
- Bplaying a round of golf
- Cplaying the piano
- Dpainting with watercolors
15The 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.
- A15
- B20
- C30
- D45
16The home health nurse points out the benefits of regular exercise, which include __________. (Select all that apply.)
- Amaintenance of joint mobility
- Benhancement of muscle tone
- Cpromotion of sense of general well-being
- Dguarantee of weight loss
- Epromotion of regular elimination
17The 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.)
- Aflattened diaphragm
- B loss of elasticity in the lung
- Cnutritional deficiencies
- Ddecrease in size of chest cavity
- Efragility of capillaries
18The nurse lists factors that the patient should consider when planning an exercise program, which are __________. (Select all that apply.)
- Apurchasing weights
- B wearing clothing appropriate to the type of exercise
- Cconsidering membership in a health club
- Destablishing realistic goals
- Ecommitting time for consistent regular exercise
19The overall goals in caring for a patient with impaired physical mobility are __________. (Select all that apply.)
- Aincreasing the patient’s participation in physical activities
- Bpreserving the patient’s anatomical position and function of joints
- Cincreasing the patient’s former level of mobility
- Davoiding unnecessary restraints
- Eusing assistive devices to maintain mobility
20When planning an exercise program for a person with activity intolerance, the nurse would consider __________. (Select all that apply.)
- Aidentification of factors that contribute to activity intolerance
- Barranging activities that progress from mild to more demanding
- Crapid pacing activities to build up stamina
- Dindividualizing the plan to include activities that the patient particularly likes
- Eincluding the patient in the planning phase
21The long-term goals for rehabilitation are __________. (Select all that apply.)
- Aprevention of further disability
- Bmodifying the impact of the disability on lifestyle
- Csupporting adaptation to a changed lifestyle
- Docusing on a complete return to the former level of activity
- Ereestablishing the patient’s control of her or his life
22The rehabilitation nurse demonstrates a positive attitude toward care planning by __________. (Select all that apply.)
- Aacknowledging the impact of a traumatic amputation on therapy
- Bencouraging the resident’s input on the care plan
- Cinviting the resident and family member to attend the care plan meetings
- Dmaking a list of questions for the resident to ask at the care plan meeting
- Ehelping the resident to perform all activities of daily living (ADLs)
23The nurse knows the goals of rehabilitative nursing include helping the patient to __________. (Select all that apply.)
- Aminimize the impact of disability
- Breturn to maximum level of function
- Cincrease level of independence
- Dadjust to change in lifestyle
- Eincrease control of their life
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- college Geriatrics Quiz on chapter 19 , created by nursing fairy on 19/10/2014.
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- nursing fairy
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