Author Question: The adult client is effectively demonstrating concepts of wellness, self-responsibility, and ... (Read 93 times)

Starlight · **on:** Jun 25, 2018

The adult client is effectively demonstrating concepts of wellness, self-responsibility, and decision making through which action?

1. Planning a menu that includes large portions of an assortment of foods from each of the food groups.
2. Decreasing the number of cigarettes smoked from 3 packs per day to 1.5 packs per day.
3. Practicing sexual abstinence or using a condom during sexual intercourse.
4. Walking at a pace of 3 to 4.5 mph for 15 minutes three times per week.

Question 2

The nurse is working with an older adult client who has osteoarthritis that affects the mobility of both hips.

In developing a plan of care, the nurse must consider the recommended levels of physical activity according to the Center for Disease Control (CDC). Which goal is the most appropriate for this client?
1. The client will bicycle at 10 mph for 1 hour or more every day.
2. The client will jog for 15 minutes per day 5 days per week.
3. The client will walk at least 5 mph for 15 minutes per day.
4. The client will swim for 15 minutes per day 5 days per week.

amanda_14 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3

Wellness concepts are demonstrated through individuals being responsible and able to make good decisions regarding areas such as nutrition, physical activity, safety issues, stress management, emotional growth and well-being, and health care issues in general. Sexual abstinence or use of a condom during sexual intercourse demonstrates responsibility and good decision-making skills in regards to sexual and reproductive health. Menu planning should include appropriate rather than large portions of food from each of the food groups in order to practice good nutrition. Decreasing the number of packs of cigarettes smoked per day from three to one and a half will not significantly lower the health risks of smoking. Walking at a pace of 3 to 4.5 mph is considered moderate physical activity; walking this pace for 15 minutes three times per week does not meet the CDC recommended 2 hours and 30 minutes per week for moderate physical activity.

Answer to Question 2

Correct Answer: 4
The CDC recommends that older adults follow the same guidelines for physical activity as adults (moderate intensity physical activity at least 2 hours and 30 minutes per week or 1 hour and 15 minutes of vigorous activity, or a combination of moderate and vigorous physical activity per week); if chronic conditions cause limitations, older adults should participate in as much physical activity as their condition allows. Swimming would place the least amount of strain on the hip joints affected by the osteoarthritis, and 15 minutes per day 5 days per week is moderate physical activity that would help maintain joint mobility. The options of bicycling, jogging, and walking at the paces described would be considered vigorous physical activity and would place strain on the client's hips.