The nurse incorporates exercise in daily interactions with the ...

[rosent76]

The nurse incorporates exercise in daily interactions with the residents in the Alzheimer's wing of the care facility. Which of the following interventions is appropriate to meet this goal?
 
  A) Encouraging the residents to wave their arms in greeting
  B) Setting up a weekly t'ai chi class
  C) Playing music in the exercise room
  D) Having games and therapy equipment available for use

Question 2

In which of the following situations would the care team be most likely justified in superseding the desires of the older adult client in question?
 
  A) Mrs. J persists in smoking cigarettes despite her emphysema and dependence on oxygen by nasal prongs.
  B) Mr. L is adamantly opposed to placement in a care facility, despite his progressing dementia and tendency to leave his stove turned on.
  C) Mrs. B, though denying suicidal ideation, is depressed and has cloistered herself in her apartment for many months.
  D) Mr. E, despite his family's wishes, does not want any treatment for his recently diagnosed brain tumor.

[tkempin]

Answer to Question 1

A
Feedback:
Some older individuals may be unable to participate in formal exercise programs. For these persons, it can be beneficial to build less aggressive exercises into their daily activities and promote maximum activity during routine care activities. For example, when greeting a patient in the hall, ask the person to raise both arms as high as possible and wave.

Answer to Question 2

B
Feedback:
Desires of clients may be superseded by professional judgment in actual or suspected cases of mental incompetence, of which dementia may be an example. Answers A, C, and D are examples of situations where the desires of older adults, though likely detrimental, would ultimately be respected.