Eliopoulos Chapter 21 - Mobility

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

a. get a scrambled message in the brain.

b. take longer to complete an activity.

c. become confused.

d. forget how to complete the activity.

b. take longer to complete an activity.

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

a. fragility of the bones puts the patient at risk for fractures.

b. numbness in the feet and legs puts the patient at risk for a fall.

c. stiffened ligaments and tendons put the patient at risk for reduced flexibility.

d. moving heavy edematous limbs puts the patient at risk for fatigue.

c. stiffened ligaments and tendons put the patient at risk for reduced flexibility..

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

a. moved his home office to a downstairs location.

b. used public transportation rather than driving his own car.

c. tilled the garden plot with a motor-driven tiller.

d. went to a senior center twice in 1 week to play dominoes.

a. moved his home office to a downstairs location.

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

a. improve cardiovascular function.

b. build muscle mass.

c. improve dexterity.

d. enhance balance.

a. improve cardiovascular function.

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:

a. training with hand weights.

b. walking on a treadmill.

c. low-impact aerobics.

d. swimming.

d. swimming.

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.

a. aerobic

b. stretching

c. resistance

d. tai chi

c. resistance

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:

a. drink plenty of fluids.

b. wear clothing that allows ventilation.

c. take hard candy to the gym when he exercises.

d. give himself less insulin than is prescribed.

c. take hard candy to the gym when he exercises.

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

a. alternately tightening and relaxing the abdominal muscles.

b. lifting the body up off the bed using an overhead trapeze.

c. pushing against the bed to lift the buttocks off the bed a few inches.

d. pressing the sole of the foot against a footboard.

a. alternately tightening and relaxing the abdominal muscles.

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

a. hold the breath during an exercise cycle.

b. breathe through the mouth.

c. breathe deeply and rhythmically during an exercise cycle.

d. breathe in through the nose and out through the mouth.

exercise cycle.

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

a. increase peripheral circulation.

b. increase strength.

c. decrease the incidence of falls.

d. eliminate the need for ambulatory assistive devices.

c. decrease the incidence of falls.

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 nurses most effective intervention would be to:

a. allow 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.

d. instruct her to use a wheelchair for mobility.

c. bring her walker to her and remind her that the walker is for her safety.

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

a. 75-degree sunny day in Texas.

b. 70-degree cloudy day in Oregon.

c. 80-degree sunny day in Florida.

d. 75-degree ozone alert day in California.

d. 75-degree ozone alert day in California.

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

a. attention to high-level wellness.

b. plans for physiologic and safety concerns.

c. aggressive rehabilitation goals.

d. patient participation in his or her own care.

b. plans for physiologic and safety concerns.

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

a. working a crossword puzzle

b. playing a round of golf

c. playing the piano

d. painting with watercolors

d. painting with watercolors

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.

a. 15

b. 20

c. 30

d. 45

c. 30

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

(Select all that apply.)

a. maintenance of joint mobility

b. enhancement of muscle tone

c. promotion of sense of general well-being

d. guarantee of weight loss

e. promotion of regular elimination

a. maintenance of joint mobility

b. enhancement of muscle tone

c. promotion of sense of general well-beinge. promotion of regular elimination

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.)

a. flattened diaphragm

b. loss of elasticity in the lung

c. nutritional deficiencies

d. decrease in size of chest cavity

e. fragility of capillaries

a. flattened diaphragm

b. loss of elasticity in the lung

c. nutritional deficiencies

d. decrease in size of chest cavity

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

a. purchasing weights

b. wearing clothing appropriate to the type of exercise

c. considering membership in a health club

d. establishing realistic goals

e. committing time for consistent regular exercise

b. wearing clothing appropriate to the type of exercise

c. considering membership in a health club

d. establishing realistic goals

e. committing time for consistent regular exercise

The overall goals in caring for a patient with impaired physical mobility are .

(Select all that apply.)

a. increasing the patients participation in physical activities

b. preserving the patients anatomical position and function of joints

c. increasing the patients former level of mobility

d. avoiding unnecessary restraints

e. using assistive devices to maintain mobility

a. increasing the patients participation in physical activities

b. preserving the patients anatomical position and function of jointsd. avoiding unnecessary restraints

e. using assistive devices to maintain mobility

When planning an exercise program for a person with activity intolerance, the nurse would consider . (Select all that apply.)

a. identification of factors that contribute to activity intolerance

b. arranging activities that progress from mild to more demanding

c. rapid pacing activities to build up stamina

d. individualizing the plan to include activities that the patient particularly likes

e. including the patient in the planning phase

a. identification of factors that contribute to activity intolerance

b. arranging activities that progress from mild to more demandingd. individualizing the plan to include activities that the patient particularly likes

e. including the patient in the planning phase

The long-term goals for rehabilitation are . (Select all that apply.)

a. prevention of further disability

b. modifying the impact of the disability on lifestyle

c. supporting adaptation to a changed lifestyle

d. focusing on a complete return to the former level of activity

e. reestablishing the patients control of her or his life

a. prevention of further disability

b. modifying the impact of the disability on lifestyle

c. supporting adaptation to a changed lifestylee. reestablishing the patients control of her or his life

The rehabilitation nurse demonstrates a positive attitude toward care planning by .

(Select all that apply.)

a. acknowledging the impact of a traumatic amputation on therapy

b. encouraging the residents input on the care plan

c. inviting the resident and family member to attend the care plan meetings

d. making a list of questions for the resident to ask at the care plan meeting

e. helping the resident to perform all activities of daily living (ADLs)

a. acknowledging the impact of a traumatic amputation on therapy

b. encouraging the residents input on the care plan

c. inviting the resident and family member to attend the care plan meetings

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

(Select all that apply.)

a. minimize the impact of disability

b. return to maximum level of function

c. increase level of independence

d. adjust to change in lifestyle

e. increase control of their life

a. minimize the impact of disabilityc. increase level of independence

d. adjust to change in lifestyle

e. increase control of their life