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Chapter 3 Exercise in Older Adults

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Chapter 3 Exercise in Older Adults

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Chapter 3: Exercise in Older Adults

1. Mrs. Keating is a 70-year-old woman suffering from arthritis. She is seeing the nurse
practitioner for her regular checkup. For a person with chronic degenerative conditions, which
of the following should the nurse suggest for health promotion?

1. Take herbal supplements.
2. Increase physical activity.
3. Take Aleve.
4. Get a massage. - 1. Answer: 2
Page: 19


Feedback
1.
Although there may be some herbal supplements that can help with arthritis, this is not the best
suggestion because it does not promote increased physical activity.
2.
Increased physical activity in older adults promotes wellness and quality of life.
3.
Medication may be helpful for relief of symptoms but does not necessarily promote increased physical
activity, which can help lead to better health.
4.
Massage may provide temporary relief for arthritic joints, but physical activity is what can help lead to
better health.

, 2. Many adults find reasons or barriers for not being able to exercise. Which of the following is
an example of a patient barrier?

1. Good health, no functional limitations.
2. Insurance incentive.
3. High body mass index (BMI).
4. Frequent contact with prescriber. - 2. Answer: 3
Page: 20


Feedback
1.
Good health, no functional limitations is an example of a patient facilitator because it is not
counterintuitive to pursuing good health.
2.
Insurance incentive is an example of a patient facilitator because it provides incentive for the patient.
3.
High BMI is an example of a patient barrier because it is something that may seem insurmountable to
a patient.
4.
Frequent contact with the prescriber is an example of a patient facilitator because it provides
accountability in the pursuit of good health.

3. Mr. Osorio is a 65-year-old male who recently retired because of a medical condition. He
has good family support and is very motivated to start a wellness program to prevent
worsening of his condition. These factors are an example of:

1. Barriers
2. Incentives
3. Positive self-efficacy
4. Facilitators - 3. Answer: 4
Page: 20


Feedback
1.
Barriers are things that prevent or hinder patients from exercising.
2.
Incentive is one kind of patient facilitator, like family support.
3.
Positive self-efficacy is another kind of patient facilitator, like family support.
4.
Facilitators are things that help a patient desire exercise and health promotion, so these are facilitators.

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