Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 24- Movement
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is assisting an aging client with osteoarthritis to ambulate. Which of the following instructions is most appropriate for the nurse to give the client? | |
| A) | “Bend slightly at the waist.” | |
| B) | “Close your eyes and relax.” | |
| C) | “Stand straight and tall.” | |
| D) | “Watch your feet.” | |
| Ans: | C | |
| Feedback: | ||
| Assisting the client to proper posture is helpful to regain/maintain ADLs and joint mobility. Osteoarthritis can make it difficult to stand upright. Bending, watching your own feet, or closing your eyes will not assist in proper posture. | ||
| Origin: Chapter 24- Movement, 2
Chapter: 24 Client Needs: D1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 5 Page and Header: 327, Box 24-2 |
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| 2. | The nurse includes interventions to improve impaired physical activity in the plan of care for the older resident. Which of the following interventions should the nurse include? (Select all that apply.) | |
| A) | Develop an exercise program that promotes maximum heart rate. | |
| B) | Encourage family to assist in efforts to increase the patient’s mobility. | |
| C) | Include passive range of motion (PROM) in plan. | |
| D) | Promote a nutritional intake of calcium and protein. | |
| E) | Provide diversional activities based on the patient’s interests and level of function. | |
| Ans: | B, D, E | |
| Feedback: | ||
| Calcium and proteins, along with a balanced diet, will assist in the development of musculoskeletal health. The target heart rate is 65% to 80% of maximum heart rate; not all persons require PROM, but only those who are unable to move independently. | ||
| Origin: Chapter 24- Movement, 3
Chapter: 24 Client Needs: D1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/learning Objective: 3 Page and Header: 326, Exercise Programs Tailored for Older Adults |
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| 3. | The nurse teaches the caregiver to assist the elderly patient with exercises. Which of the following points, if made by the caregiver, indicate that the caregiver needs more guidance? | |
| A) | Exercise all body joints through their normal range of motion (ROM). | |
| B) | Support the joint and distal limb during the exercise. | |
| C) | Force the joint past the point of resistance. | |
| D) | Complete exercise of joints at least three times daily. | |
| Ans: | C | |
| Feedback: | ||
| Joints must be supported and moved through normal ROM, not forced if full ROM is not present. | ||
| Origin: Chapter 24- Movement, 4
Chapter: 24 Client Needs: D1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 4 Page and Header: 331, Prevention of Inactivity |
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| 4. | The nurse motivates residents to move and be active. Which of the following rationales is useful in stimulating opportunities for activity? | |
| A) | Persons of the same generation enjoy the same activities. | |
| B) | Musculoskeletal problems are hereditary. | |
| C) | Immobile residents do not benefit from exercise routines. | |
| D) | Those engaged in social events are more likely to perform self-cares. | |
| Ans: | D | |
| Feedback: | ||
| People who are going to a social event have a reason to perform self-cares. Nurses need to avoid generalizations and ageism. All persons benefit from activity and movement. | ||
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