Chapter 19: Activity and Exercise
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. An older adult is performing isometric and isotonic exercises. Which action should the
nurse suggest in order to prevent an accidental Valsalva maneuver?
a. Hold the breath during an exercise cycle.
b. Breathe through the mouth.
c. Breathe deeply and rhythmically during an exercise cycle.
d. Breathe in through the nose and out through the mouth.
ANS: B
Breathing through the mouth makes it impossible to hold the breath, and bearing
down cannot be performed. The Valsalva maneuver increases blood pressure and may
cause cardiac overload.
PTS: 1 DIF: 5 REF: p. 333 OBJ: 7
TOP: Valsalva Maneuver KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease NOT: Applying
2. Which benefit is there for an older adult to participate in balance training?
a. Increase peripheral circulation.
b. Increase strength.
c. Decrease the incidence of falls.
d. Eliminate the need for ambulatory assistive devices.
, ANS: C
Balance training is important for older adults to reduce falls.
PTS: 1 DIF: 5 REF: p. 327 OBJ: 7
TOP: Balance Exercises KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A NOT: Applying
3. The fiercely independent 90-year-old woman who is recovering from a stroke frequently
ambulates without the use of her walker because she says it is ugly and cumbersome.
Which nursing intervention is likely to be effective?
a. Allow her to ambulate independently.
b. Place a gait belt around her and ambulate when she does.
c. Bring her walker to her and remind her that the walker is for her safety.
d. Instruct her to use a wheelchair for mobility.
ANS: C
Bringing a device and reminding the patient of its purpose is an effective way to
protect the patient and re-educate her about assistive devices. Use of a gait belt to
assist her with every ambulation or allowing her to ambulate without an assistive
device is not practical. Use of a wheelchair diminishes her mobility.
PTS: 1 DIF: 8 REF: p. 333 OBJ: 7
TOP: Rejection of Assistive Devices KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control NOT: Analyzing
4. On which day should an outing to the park for a group of older adults be canceled?
a. 75-degree sunny day in Texas
b. 70-degree cloudy day in Oregon
c. 80-degree sunny day in Florida
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. An older adult is performing isometric and isotonic exercises. Which action should the
nurse suggest in order to prevent an accidental Valsalva maneuver?
a. Hold the breath during an exercise cycle.
b. Breathe through the mouth.
c. Breathe deeply and rhythmically during an exercise cycle.
d. Breathe in through the nose and out through the mouth.
ANS: B
Breathing through the mouth makes it impossible to hold the breath, and bearing
down cannot be performed. The Valsalva maneuver increases blood pressure and may
cause cardiac overload.
PTS: 1 DIF: 5 REF: p. 333 OBJ: 7
TOP: Valsalva Maneuver KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease NOT: Applying
2. Which benefit is there for an older adult to participate in balance training?
a. Increase peripheral circulation.
b. Increase strength.
c. Decrease the incidence of falls.
d. Eliminate the need for ambulatory assistive devices.
, ANS: C
Balance training is important for older adults to reduce falls.
PTS: 1 DIF: 5 REF: p. 327 OBJ: 7
TOP: Balance Exercises KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A NOT: Applying
3. The fiercely independent 90-year-old woman who is recovering from a stroke frequently
ambulates without the use of her walker because she says it is ugly and cumbersome.
Which nursing intervention is likely to be effective?
a. Allow her to ambulate independently.
b. Place a gait belt around her and ambulate when she does.
c. Bring her walker to her and remind her that the walker is for her safety.
d. Instruct her to use a wheelchair for mobility.
ANS: C
Bringing a device and reminding the patient of its purpose is an effective way to
protect the patient and re-educate her about assistive devices. Use of a gait belt to
assist her with every ambulation or allowing her to ambulate without an assistive
device is not practical. Use of a wheelchair diminishes her mobility.
PTS: 1 DIF: 8 REF: p. 333 OBJ: 7
TOP: Rejection of Assistive Devices KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control NOT: Analyzing
4. On which day should an outing to the park for a group of older adults be canceled?
a. 75-degree sunny day in Texas
b. 70-degree cloudy day in Oregon
c. 80-degree sunny day in Florida
