A nurse is performing a comprehensive assessment of new male ...

[rlane42]

A nurse is performing a comprehensive assessment of new male client, age 76 years. Which of the following components of the nurse's assessment relate directly to the holistic model? Select all that apply.
 
  A) Measuring the client's apical heart rate.
  B) Asking the client about his church involvement.
  C) Identifying the support systems that the client believes he possesses.
  D) Eliciting the client's immunization history.

Question 2

The nurse is teaching a moderately obese, older adult client who is otherwise healthy about the benefits of exercise. Which of the following teaching points is most accurate?
 
  A) You'll need to monitor your heart rate when you're working out to make sure it doesn't go more than 10 beats over your target rate..
  B) Since your resting heart rate is over 75 beats per minute, an exercise program might not be appropriate..
  C) You'll need to choose at the outset whether you want an exercise program that addresses cardiovascular function, one aimed at flexibility, or one addressing strength..
  D) For older adults, a workout that is slightly shorter but slightly more intense is ideal..

[wuly]

Answer to Question 1

B, C
Feedback:
Spirituality and perceived support and relationships are central components of the holistic model. Physical assessment components are undeniably necessary but are not indicative of the holistic model.

Answer to Question 2

A
Feedback:
An older adult's target heart rate should be identified and not exceeded by more than 10 beats per minute. A resting heart rate in a healthy older adult of 75 beats per minute does not necessarily preclude an exercise program. An exercise regimen should encompass all three domains, not just one, and workouts should not be more intense for older adults than for younger adults.