Question 1

What is the difference between rest and sleep?&#10;A)Sleep occurs with rest.&#10;B)Rest is an extension of sleep.&#10;C)Rest occurs only in brief periods.&#10;D)Sleep is restorative and recuperative.

Accepted Answer

Rest and sleep are not interchangeable terms. Sleep is a state of unconsciousness during which the body and the brain receive restorative and recuperative benefits. Rest, on the other hand, refers to a period of relaxation in which individuals lie down, take a break, or engage in activities that reduce mental or physical stress. Although sleep is a form of rest, rest can also come in the form of meditation, taking a walk, or engaging in a hobby. Thus, sleep is the more comprehensive term that encompasses physiological and psychological benefits that rest alone cannot achieve.

Question 2

Which of the following is important to include in the initial assessment for older persons who are frail and are beginning an exercise program?&#10;A)Exercise tolerance testing (ETT)&#10;B)The older person's financial ability to pay for training sessions&#10;C)A medical history and physical examination&#10;D)Pulmonary function tests (PFTs)

Accepted Answer

A medical history and physical examination are necessary to assess the older person's current health status, identify any medical conditions or medications that may affect exercise tolerance, and establish baseline measurements for monitoring progress. ETT and PFTs may be appropriate for certain individuals, but are not universally necessary. Financial ability to pay for training sessions is not relevant to the initial assessment.

Question 3

An older person who is overweight and hypertensive awakens abruptly during the night with gasping and choking.Which action should the nurse implement to manage this patient's signs and symptoms?&#10;A)Obtain a 12-lead electrocardiogram (ECG).&#10;B)Administer an anti-anxiety medication.&#10;C)Raise the head of the patient's bed to 30 degrees.&#10;D)Offer a cool cloth and refresh the patient's bed linens.

Accepted Answer

The patient's sudden awakening with gasping and choking is indicative of sleep apnea. Raising the head of the bed to 30 degrees can help reduce the incidence of sleep apnea episodes by reducing airway collapse and preventing blockages during sleep. Obtaining a 12-lead ECG may be necessary to assess for any cardiac abnormalities, but it is not the priority in managing the patient's symptoms. Administering an anti-anxiety medication or offering a cool cloth and refreshing the bed linens will not address the underlying cause of the symptoms.

Question 4

An older man has Alzheimer's disease, and his wife says he is up and wandering around the house at night.Which intervention should the nurse implement to increase the older man's duration of sleep?&#10;A)Instruct the wife to increase her husband's daily physical activity.&#10;B)Collaborate with the health care provider to administer a hypnotic.&#10;C)Teach the wife how to apply a vest restraint during sleep.&#10;D)Help the wife plan daily periods for napping and activity.

Accepted Answer

Increasing daily physical activity can help improve sleep quality by making the body more physically tired and ready for rest, which can be particularly beneficial for individuals with Alzheimer's disease who experience disrupted sleep patterns.

Question 5

Which of the following are benefits of exercise for nonambulatory older persons?&#10;A)Muscle weakness and atrophy may be reversed.&#10;B)Incontinence problems will be resolved.&#10;C)Memory issues may improve.&#10;D)Ambulation will develop.

Accepted Answer

Muscle weakness and atrophy may be reversed through resistance training and other forms of exercise, which can improve overall physical function and quality of life for nonambulatory older persons. However, exercise is unlikely to resolve incontinence problems or improve memory issues, and ambulation is not possible for nonambulatory individuals.

Question 6

During the night, an older female adult complains to the nurse that she has not slept more than two hours since her admission to the hospital.Which intervention should the nurse implement to increase the duration of this woman's sleep?

A)Inquire about the sleep habits used at home.
B)Suggest that she avoid napping during the day.
C)Tell her that sleep is fragmented in older people.
D)Offer her a book or suggest she watch a movie.

Accepted Answer

Inquiring about the patient's sleep habits at home can help identify any possible disruptions that may be affecting her sleep in the hospital. This information can help the nurse make appropriate adjustments to improve the patient's sleep quality and duration. Option B may not be appropriate as daytime napping can be beneficial for some older adults. Option C is not helpful as it can result in the patient feeling dismissed and not properly addressing their concerns. Option D may not address the patient's sleep concerns and may even worsen them if it includes excessive stimulation.

Question 7

Which of the following should the nurse recommend as a moderate-intensity exercise for older persons who are ambulatory and in good health?&#10;A)Walk 5 to 6 km in 60 minutes.&#10;B)Work in the garden for 50 minutes.&#10;C)Participate in endurance exercises and increase time gradually.&#10;D)Wash and wax the car for 75 minutes.

Accepted Answer

The answer of Which of the following should the nurse...

Question 8

Which factor contributes to sleep problems in older persons?&#10;A)Excessive napping&#10;B)Daily exercise&#10;C)Lethargy&#10;D)Rapid eye movement (REM)

Accepted Answer

Excessive napping during the day can make it difficult for older persons to fall asleep at night, leading to sleep problems. Daily exercise and REM are not necessarily contributing factors to sleep problems in older persons, while lethargy may lead to excessive napping but is not a specific contributing factor on its own.

Question 9

The older-person residents of an assisted-living facility are preparing for a 14-day trip to Europe.Which of the following is the most important exercise for the nurse to recommend for the group?&#10;A)Practise standing on one foot for 30 seconds.&#10;B)Move light weights in a rowing motion eight times.&#10;C)Stretch the hips by pulling the knee to the chest.&#10;D)Swim laps in the pool for ten minutes continuously.

Accepted Answer

The answer of The older-person residents of an assisted-living facility...

Question 10

The nurse at an assisted-living facility uses the Exercise and Screening for You (EASY) tool to plan an exercise program for an older-person resident who is in good health except that her height has decreased 1.5 cm.Which exercise safety tip from EASY calls for the nurse to assess the resident before planning care?

A)Do not exercise a red, warm, or swollen joint.
B)Avoid stretches that cause you to bend at the waist.
C)Evaluate your surroundings for outdoor exercising.
D)Begin by warming up with low to moderate exercises.

Accepted Answer

The answer of The nurse at an assisted-living facility uses...

Question 11

An older female adult maintains an active lifestyle, playing various games with friends.She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night.Which intervention should the nurse implement to improve the quality of this woman's sleep?

A)Recommend preparation for sleep.
B)Suggest trying a cup of warm milk at bedtime.
C)Inquire about her nightly sleep habits.
D)Propose volunteer work at a thrift shop.

Accepted Answer

The answer of An older female adult maintains an active...

Question 12

Which of the following statements is true about sleep in older persons?&#10;A)The time spent in bed increases, but the time spent asleep decreases.&#10;B)The amount of leg movement during sleep remains steady throughout life.&#10;C)Rapid-eye-movement (REM) sleep increases with age.&#10;D)The amount of stage III sleep increases steadily throughout life.

Accepted Answer

The answer of Which of the following statements is true...

Deck 10: Rest, Sleep, and Activity