Question 1

A group of older community members is taking a walk through the neighborhood arboretum. Which type of activity are these individuals engaging in?
A) Endurance
B) Balance training
C) Muscle lengthening
D) Flexibility exercises

Accepted Answer

Walking, especially through an arboretum, is primarily an endurance activity as it involves continuous movement over a period of time, which helps improve cardiovascular health.

Question 2

An older patient with gastroesophageal reflux disease (GERD) and heart failure complains of insomnia and of always feeling tired. What should the nurse suggest to help the patient sleep better?
A) Lie on the left side.
B) Take a long-lasting analgesic before bed.
C) Take antacids before bed to relieve gastric reflux.
D) Raise the head of the bed so that the upper body is elevated.

Accepted Answer

Elevating the head of the bed can help reduce symptoms of GERD by preventing stomach acid from flowing back into the esophagus, which can improve sleep quality.

Question 3

The nurse is preparing a community program focusing on the importance of physical activity for older people with chronic health problems. Which health problems should the nurse highlight as being the most common in this age group? Select all that apply.
A) Arthritis
B) Diabetes
C) Hypertension
D) Prostate cancer
E) Urinary incontinence

Accepted Answer

Arthritis, diabetes, and hypertension are the most common chronic health problems in older people.

Question 4

An older person notices that after working in the garden she has to sit and rest for a few minutes. What should the nurse say in response to this patient?
A) "This means that you are not eating enough."
B) "It might be that the gardening will need to be given up if it is too tiring for you."
C) "That's an abnormal behavior that should be investigated by your health-care provider."
D) "This means you are moderating activity with rest to stay energized throughout the day."

Accepted Answer

Needing to rest after physical activity, such as gardening, is a normal response, especially in older adults. It indicates that the person is listening to their body's signals and taking breaks as needed to avoid overexertion. This moderation helps maintain energy levels and supports overall health and well-being.

Question 5

An older person attends yoga three times a week. Which type of activity is this person participating in?
A) Flexibility
B) Endurance
C) Circuit training
D) Muscle building

Accepted Answer

Yoga primarily focuses on flexibility through various poses and stretches, though it can also incorporate elements of strength and balance.

Question 6

During a home visit the nurse suspects that an older person is participating in routine physical activity. What did the nurse observe to come to this conclusion? Select all that apply.
A) Asks a grandson to help him stand up
B) Weight loss of 2 pounds over the last month
C) Rests on a walker after moving a few feet
D) Able to bend down to pick up the newspaper
E) Recalls when the next health-care appointment is scheduled

Accepted Answer

The answer of During a home visit the nurse suspects...

Question 7

The nurse is assigning tasks to nursing assistants in a nursing home. Which would be the most appropriate instruction to give to the assistant who will care for a frail 80-year-old woman with arthritis?
A) Help her to use a bedpan.
B) Bring her meal trays to the bed.
C) Give her a bed bath, comb her hair, and brush her teeth.
D) Let the patient do as much as she can for mouth and personal care and toileting.

Accepted Answer

The most appropriate instruction is to encourage independence by letting the patient do as much as she can for mouth and personal care and toileting. This approach promotes autonomy and maintains the patient's functional ability, which is crucial for elderly patients, especially those with conditions like arthritis.

Question 8

The spouse of an older patient asks the nurse why the patient is shaking the cans of soup so much every day. How should the nurse respond to the spouse?
A) "That's to keep her arms limber."
B) "That's being done to increase elbow flexibility."
C) "That's an exercise using a can of soup as a weight."
D) "That's to make sure the contents that have settled are dispersed throughout the soup."

Accepted Answer

Using cans of soup as weights for exercise is a practical way for older adults to incorporate light resistance training into their daily routine, which can help maintain muscle strength and function.

Question 9

An older patient desires to increase tolerance for walking but becomes fatigued with short distances. What should the nurse suggest to this patient?
A) Walk in a mall, stopping when necessary to sit.
B) Walk 10 feet to the mailbox several times a day.
C) Walk in the park and stop periodically to sit on a bench.
D) Walk in the grocery store using a cart for stability and support.

Accepted Answer

The answer of An older patient desires to increase tolerance...

Question 10

An older male patient with obesity reports feeling tired all of the time, even in the morning. The patient's spouse says he snores loudly. What disorder should the nurse suspect?
A) GERD
B) Dementia
C) Sleep apnea
D) Periodic limb movement disorder

Accepted Answer

The symptoms described, particularly obesity, excessive daytime sleepiness, and loud snoring, are classic indicators of sleep apnea. Sleep apnea is a disorder where breathing repeatedly stops and starts during sleep, often due to obstruction of the airway.

Question 11

The nurse observes that an older patient is increasingly irritable, does not want to participate in routine activities, and is frequently napping. What should the nurse do to help this patient?
A) Encourage more napping.
B) Restrict interaction with other people.
C) Reduce the amount of daytime activities.
D) Provide uninterrupted sleep during the night.

Accepted Answer

Providing uninterrupted sleep during the night can help address irritability and disinterest in activities by ensuring the patient is well-rested. This can improve mood and energy levels, making them more likely to engage in routine activities.

Question 12

An older patient tells the nurse that sleep is optional because moving in bed is painful. What should the nurse do first to help this patient?
A) Assess pain level.
B) Provide pain medication.
C) Review the causes of the pain.
D) Discuss pain management strategies.

Accepted Answer

Assessing the patient's pain level is the first step in understanding the nature and severity of the pain, which will guide further interventions.

Question 13

An older patient with chronic obstructive pulmonary disease and degenerative arthritis affecting her lower back and legs is unable to exercise and has someone deliver food and other necessities. Which interventions are appropriate to help improve this patient's physical status? Select all that apply
A) Consider moving to an assisted living facility.
B) Discuss family members who can move in to help her.
C) Explain activities such as using a walker for shopping.
D) Encourage getting out of the house to interact with others.
E) Suggest that she accept her limitations and live as best she can.

Accepted Answer

These interventions aim to improve the patient's physical status by providing support and encouraging activity within her limitations.

Question 14

An older patient reports engaging in physical activity 15 minutes every day. What should the nurse say in response to this patient's activity level?
A) "That's all you need!"
B) "You need to increase that to 30 minutes every day."
C) "Why so much? Fifteen minutes every other day would be better."
D) "Just 7 more minutes a day and then you will be right on target."

Accepted Answer

The patient is almost meeting the recommended 30 minutes of physical activity per day.

Question 15

The nurse is aware of an older patient having difficulty with upper arm mobility. Which activity should the nurse encourage to help this patient?
A) Tie shoes.
B) Comb hair.
C) Put on socks.
D) Flex the ankles.

Accepted Answer

Combing hair involves moving the arms above the head or around the head, which can help improve upper arm mobility through stretching and strengthening the muscles involved in such movements.

Quiz 9: Activity, Rest, and Sleep As Criteria for Health

A group of older community members is taking a walk through the neighborhood arboretum. Which type of activity are these individuals engaging in?

An older patient with gastroesophageal reflux disease (GERD) and heart failure complains of insomnia and of always feeling tired. What should the nurse suggest to help the patient sleep better?

The nurse is preparing a community program focusing on the importance of physical activity for older people with chronic health problems. Which health problems should the nurse highlight as being the most common in this age group? Select all that apply.

An older person notices that after working in the garden she has to sit and rest for a few minutes. What should the nurse say in response to this patient?

An older person attends yoga three times a week. Which type of activity is this person participating in?

During a home visit the nurse suspects that an older person is participating in routine physical activity. What did the nurse observe to come to this conclusion? Select all that apply.

The nurse is assigning tasks to nursing assistants in a nursing home. Which would be the most appropriate instruction to give to the assistant who will care for a frail 80-year-old woman with arthritis?

The spouse of an older patient asks the nurse why the patient is shaking the cans of soup so much every day. How should the nurse respond to the spouse?

An older patient desires to increase tolerance for walking but becomes fatigued with short distances. What should the nurse suggest to this patient?

An older male patient with obesity reports feeling tired all of the time, even in the morning. The patient's spouse says he snores loudly. What disorder should the nurse suspect?

The nurse observes that an older patient is increasingly irritable, does not want to participate in routine activities, and is frequently napping. What should the nurse do to help this patient?

An older patient tells the nurse that sleep is optional because moving in bed is painful. What should the nurse do first to help this patient?

An older patient reports engaging in physical activity 15 minutes every day. What should the nurse say in response to this patient's activity level?

The nurse is aware of an older patient having difficulty with upper arm mobility. Which activity should the nurse encourage to help this patient?