The nurse, who is caring for a 73-year-old female client who has ...

[londonang]

The nurse, who is caring for a 73-year-old female client who has been hospitalized with a stroke, instructs the client's daughter to continue to do passive range-of-motion exercises with her mother on her affected side to prevent contractures.
 
  The nurse explains to the daughter that this is very important in an immobile older adult client because contractures can form how quickly? a. Within eight hours
  b. Within 24 hours
  c. Within one week
  d. Within one month

Question 2

Which of the following domains of health seeks prevention programs for populations as its main focus?
 
  a. Global health
  b. Public health
  c. International health
  d. Transcultural health

[joneynes]

Answer to Question 1

A
Disuse, atrophy, and shortening of the muscle fibres cause joint contractures. When a contracture occurs, the joint cannot obtain full range of motion (ROM). Contractures sometimes leave a joint or joints in a nonfunctional position, as seen in clients who are permanently curled in a fetal po-sition. Early prevention of contractures is key; they can begin to form after only eight hours of immobility in the older adult client.
Disuse atrophy can occur in eight hours, not 24 hours.
Disuse atrophy can occur in eight hours, not one week.
Disuse atrophy can occur in eight hours not one month.

Answer to Question 2

B

Feedback
A Global health embraces both prevention in populations and clinical care of individuals.
B The main focus of public health is prevention programs for populations.
C International health embraces both prevention in populations and clinical care of individuals.
D Transcultural health is not a domain of health.