A nurse is working with an older individual who has recently ...

[ec501234]

A nurse is working with an older individual who has recently started an exercise program. The individual tells the nurse, This exercise thing is really hard, and I absolutely hate walking on a treadmill going nowhere.
 
  I think I am going to call it quits. Which of the following responses by the nurse will be most effective in encouraging the individual to remain in the program?
  a. If you stop exercising, you will reverse all the good effects that the exercise accom-plished.
  b. I will have to report that to your physi-cian.
  c. What types of exercise do you enjoy do-ing?
  d. Most older people hate exercising, but they do it anyways.

Question 2

A nurse caring for an older hospitalized woman is concerned about promoting functional status. Which of the following interventions should the nurse include in this patient's plan of care? (Se-lect all that apply.)
 
  a. Conduct a baseline functional status as-sessment of the patient
  b. Request a physical therapy referral
  c. Make sure that the patient has all activities of daily living performed for her
  d. Progressive mobility interventions
  e. Encouraging the patient to feed herself

[britb2u]

Answer to Question 1

ANS: C
Providing choices, as well as making exercise fun and entertaining, is a strategy to sustain partic-ipation in an exercise program. Options A, B, and D do not address the patient's issue of not lik-ing a particular type of exercise.

Answer to Question 2

ANS: A, B, D, E
A baseline assessment of functional ability is important and can assist in setting appropriate goals for the hospitalized individual. Physical therapy is important in developing an individualized plan of exercises and functional mobility program. Progressive mobility interventions range from pas-sive range of motion to safe transfers and ambulation and are important in maintaining function. Encouraging self-care activities rather than doing for is also important.