Author Question: An older male adult in a cardiac rehabilitation exercise class refuses to participate in the ... (Read 59 times)

amal · **on:** Jul 11, 2018

An older male adult in a cardiac rehabilitation exercise class refuses to participate in the cool-down phase of the activity, and 2 minutes later, he passes out but regains conscious-ness quickly.

Which of the following instructions does the nurse include in patient teach-ing to reinforce the importance of cooling down after exercise to this man? a. Cardiac output diminishes with age.
b. Mobility capacity decreases with age.
c. Baroreceptor function diminishes with age.
d. Sensory perception diminishes with age.

Question 2

Which of the following is a true statement about the theories of aging?

a. Research data support the disengagement theory, activity theory, and continuity theory.
b. Everyone should be able to achieve the three tasks of Peck's model of integrity.
c. The exercise of rights is not a task of aging in Kelly's model.
d. A person may choose to avoid pursuing inner discovery in older age.

Dnite · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C

Feedback
A Incorrect. An acute problem due to decreased cardiac output should appear dur-ing the real exercise.
B Incorrect. The man is mobile enough to participate in the exercise program.
C Correct. During exercise, the body shunts blood to the skeletal muscles to supply enough oxygen to meet the increased metabolic demands of the muscles. If the exercise is suddenly withdrawn, the blood pools in the skeletal muscles temporarily, and the older adult loses consciousness from transient hypotension. This is because baroreceptor responsiveness declines with age, so the body does not respond as readily to the need for changes in blood pressure. The cool-down period compensates for this effect.
D Incorrect. Gradual sensory alteration does not account for the acute episode.

Answer to Question 2

D
Some persons do not value inner psychological exploration and remain action oriented even in an older age, and others are still subject to the same demands of daily living as they were in middle age. None of these theories is clearly supported by data. Peck's tasks of ego differentiation, body transcendence, and ego transcendence demand a great deal of courage and energy that not eve-ryone possesses. Tasks of aging in Kelly's model are accepting reality, fulfilling responsibility, and exercising rights.