Exercise in Older Adults Test Bank Chapter 3

Chapter 3 Exercise in Older Adults

Multiple Choice

1. Mrs. Keating is a 70-year-old woman suffering from arthritis. She is seeing the nurse

practitioner for her regular checkup. For a person with chronic degenerative conditions, which

of the following should the nurse suggest for health promotion?

1. Take herbal supplements.

2. Increase physical activity.

3. Take Aleve.

4. Get a massage.

2. Many adults find reasons or barriers for not being able to exercise. Which of the following is

an example of a patient barrier?

1. Good health, no functional limitations.

2. Insurance incentive.

3. High body mass index (BMI).

4. Frequent contact with prescriber.

3. Mr. Osorio is a 65-year-old male who recently retired because of a medical condition. He

has good family support and is very motivated to start a wellness program to prevent

worsening of his condition. These factors are an example of:

1. Barriers

2. Incentives

3. Positive self-efficacy

4. Facilitators

4. The American College of Sports Medicine (ACSM) has designed programs to incorporate exercise into every patient encounter. Which of the following is the correct phrase for this program?

1. Back to Exercise

2. Health and Wellness

3. Exercise is Medicine

4. Exercise is Wellness

5. Which of the following should nurse practitioners suggest to counter common patient excuses for not exercising?

1. Join a gym.

2. Find an exercise “buddy.”

3. Take a 10-minute walk every day.

4. Go to the YMCA.

6. Older adults who have chronic conditions and are considering an increase in their physical

activity should:

1. Start slowly, using lower weights with high repetitions.

2. Consult with a personal trainer.

3. Consult a health-care provider to help set physical activity goals that are realistic and safe.

4. Start with low repetitions but heavier weights.

7. Challenges to increasing physical activity are different for everyone. For instance, some

patients may be experiencing depression or loss, some may have had significant life changes, and others may be dealing with functional limitations. As relates to increasing physical activity,

these are examples of what?

1. Patient excuses

2. Patient facilitators

3. Patient ignorance regarding what to do

4. Patient barriers

8. Which of the following is the focus of additional studies about the relationship between

physical activities and cognitive changes?

1. Diet and supplements

2. Provider and patients

3. Social support and patients

4. Medical conditions and medications

Multiple Response

9. With the recognition that baby boomers will increase the over 65 population exponentially,

guidelines for increasing physical activity in older adults have been issued. Which of the

following programs is dedicated to health promotion in older adults? Select all that apply.

1. The Healthy People 2020 initiative

2. The Center for Medicare and Medicaid

3. The American Medical Association

4. The National Institute on Aging

5. The American Heart Association (AHA)

10. Mr. Fekjar is diagnosed with unstable angina. Which of the following is a contraindication for exercise therapy and prevents patients from joining an exercise program?

Select all that apply.

1. Uncontrolled hypertension

2. Fibromyalgia

3. Unstable aortic aneurysm

4. Chondromalacia

5. Hypoxemia

11. Which of the following may be included in the healthy lifestyle counseling during the initial

Welcome to Medicare visit? Select all that apply.

1. Level of physical activity assessment.

2. Physical therapy consultation.

3. Referral to an herbalist.

4. Referral to a health coach.

5. Referral to an acupuncturist.

12. Incorporating exercise into patients’ lifestyles can be effectively achieved by including which of the following in your discussions with patients? Select all that apply.

1. Talking about the importance of exercise.

2. Encouraging goal setting and self-monitoring by the patient.

3. Recommending the purchase of exercise equipment to use at home.

4. Informing the patient about resources that are available in the community for group exercise.

5. Giving an illustration of the exercises.

13. The goal of increasing physical activity is to promote a healthy lifestyle. Which of the

following options help reduce the risk of injuries? Select all that apply.

1. Choosing physical activities that are appropriate for their current fitness level and health goals.

2. Remaining under the care of a health-care provider if they have chronic conditions or

symptoms.

3. Choosing to do physical activities their friends are doing.

4. Enlisting spousal supervision and support.

5. Hiring a personal trainer.

14. The AHA Council on Nutrition, Physical Activity, and Metabolism identified patient facilitators to increasing physical activity in older adults. Which of the following is an example of patient facilitators? Select all that apply.

1. Frequent contact with prescriber.

2. Planned program.

3. Making time.

4. Purchasing new equipment.

5. Ignorance of exercise.

15. To perform physical activity safely and reduce the risk of injuries and other adverse events,

which of the following are advisable? Select all that apply.

1. Start fast to get acclimated to the activities.

2. Use their instincts.

3. Use appropriate protective gear.

4. Follow rules and policies.

5. Have an exercise “buddy.”

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