A home health nurse is teaching a sedentary elderly female about the importance of joint mobility. Which of the following lifestyle interventions would prevent injury to the affected joints?

Meeting friends for fast food daily.

Running 5 miles daily in a safe, well lighted area.

Exercising 2 hours each day in a gym.

Walking on a lunch break with a friend in a safe area.

Answer and Explanation

The Correct Answer is D

A. Meeting friends for fast food daily. This option does not promote joint mobility or health and could lead to poor overall health.

B. Running 5 miles daily in a safe, well-lit area. While running can improve cardiovascular health, it may not be appropriate for an elderly person due to the risk of joint and injury.

C. Exercising 2 hours each day in a gym. Excessive exercise can lead to injury, particularly in the elderly. Moderation and appropriate exercise are crucial.

D. Walking on a lunch break with a friend in a safe area. Regular walking is a low-impact exercise that promotes joint mobility and overall health, making it a suitable choice for an elderly person.

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Correct Answer is D

Explanation

A. "You have plenty of time to figure all of that out." This response is not proactive and may not address the urgency of planning for future decisions. It is important to address these issues sooner rather than later.

B. "Decisions will then be made for your spouse by the health care provider." Healthcare providers will make decisions based on medical criteria and the patient's current condition, but they will typically follow the wishes expressed in advance directives or legal documents.

C. "Decisions should be made now for your spouse's future." This is a proactive approach, but it's important to involve the spouse in the decision-making process.

D. "I can explain advance care planning to you." This is the most appropriate response. Advance care planning involves discussing the client's wishes regarding their future care, including decisions about life-sustaining treatments. By explaining this process, the nurse can help the spouse prepare for a time when the client may be unable to make their own decisions.

A. Small muscle twitching. B. An increase in temperature. C. Difficult to arouse. D. An increase in pulse rate.

Correct Answer is C

Explanation

A. Small muscle twitching. Small muscle twitching is more common during REM sleep, not Stage IV NREM sleep.

B. An increase in temperature. Stage IV NREM sleep is associated with stable body temperature rather than an increase.

C. Difficult to arouse. Stage IV NREM sleep is known as deep sleep, and individuals are indeed difficult to arouse during this stage.

D. An increase in pulse rate. Stage IV NREM sleep typically features a stable or decreased pulse rate, not an increase.

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A home health nurse is teaching a sedentary elderly female about the importance of joint mobility. Which of the following lifestyle interventions would prevent injury to the affected joints?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurses talking with the spouse of an older adult client who has been diagnosed with dementia. The spouse states, "What will I do when my spouse cannot make decisions anymore?" Which of the following responses should the nurse make?

Correct Answer is D

Explanation

The nurse is assessing the vital signs of a sleeping patient at 0400 a.m. and notes the patient is experiencing stage IV non-rapid eye movement (NREM) sleep. The nurse should expect which of the following findings?

Correct Answer is C

Explanation

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