NR 601 questions and answers|100% correct

NR 601 questions and answers|100% correct Recommended exercises for sleep ad flexibility: - CORRECT ANSWER : Preferred amount is 30 minutes per day 5 days a week, if weight management is a part of this, 60 minutes per day is advised. To maintain the flexibility necessary for regular physical activity and daily life, older adults should perform activities that maintain or increase flexibility on at least 2 days each week for at least 10 minutes each day. Exercise recommendations for specific diagnosis P. 21 Osteoarthritis: waking, aquatic activities, tai chi, resistance exercises, cycling. *vary type and intensity to avoid overstressing joints, heated pool. Coronary artery disease: Walking, treadmill, cycle ergometry. *supervised program with BP and heart rate monitoring. Congestive heart failure: walking, treadmill, cycle ergometry. *Individualized to client, supervised program. Type 2 diabetes: Resistive, aerobic, aquatic, recreational activities. *Proper shoe fit; may need insulin reduction of insulin dependent. Anxiety Disorders: Walking, biking, weightlifting. * If able to do high-intensity exercise, this benefits anxiety. Depression: Walking, cycling, recreational activities. *Group participation helpful to keep patient engaged. Fibromyalgia: Aerobic, aquatic therapy, strengthening, tai chi, Pilates. *Heated pool, gentle stretches, counsel about possible increased pain initially. COPD: Cycle ergometer, treadmill, individualized. * Supervised program-consider pulmonary rehab. Chronic venous insufficiency: Walking, standing exercises. *Supervised program. Osteoporosis: Weight-bearing, weight training. *Assess balance and risk for falls before beginning. Parkinson's disease: walking, treadmill, stationary bike, dancing, tai chi, Pilates, boxing. *Assess balance and risk for falls before beginning. Age-related sleep disorders: tai chi, walking, aqua therapy, biking. *Assess balance and risk for falls before beginning. Dementia: Walking, recreational activities. *Provide safe environments, assess fall risk and ability to participate. *Recommended testing prior to exercise initiation: - CORRECT ANSWER None for all adults who do not have symptoms and have not been diagnosed with chronic disease such as OA, diabetes, heart disease • Patients with chronic conditions: need to consult with health care professional • Men over 45 and women over 55 who are considering a vigorous program need to screening and routine stress testing • Sedentary older adults and adults with cardiac disease/or strong risk factors need screening and stress test before undertaking vigorous exercise program *Barriers, facilitators, and contraindications to exercise: - CORRECT ANSWER Barriers ■ Lack of time ■ Perceived need for equipment ■ Perceived barrier to beginning exercise/physical activity ■ Disability or functional limitation ■ Unsafe neighborhood or weather conditions ■ No parks or walking trails ■ Depression ■ High body mass index (BMI) ■ Lack of motivation ■ Interpersonal loss or significant life event ■ Ignorance of what to do Patient Facilitators ■ Social support ■ Positive self-efficacy ■ Motivation to engage in physical activity ■ Good health, no functional limitations ■ Frequent contact with prescriber ■ Regular schedule, planned program ■ Satisfaction with program ■ Insurance incentive ■ Improvement in mobility or health condition ■ Staff Contraindications ■ Unstable angina ■ Uncompensated heart failure ■ Severe anemia ■ Uncontrolled blood glucose ■ Unstable aortic aneurysm ■ Uncontrolled hypertension or tachycardia ■ Severe dehydration or heat stroke ■ Low oxygen saturation Immunizations: - CORRECT ANSWER Kennedy p.12: PCV13: over 65: single dose; for those with chronic health conditions may administer a dose before age 65 and boost with a second dose after age 65. PPSV23: Over 65: Given 1 year after PCV13