Exam 2: Activity and Exercise

Question 1

Ligaments

Answer 1

Bind joints and connect bones

Question 2

Tendons

Answer 2

Connect muscle to bone

Question 3

Cartilage

Answer 3

Shock absorber between articulating bones

Question 4

Skeletal system involve

Answer 4

joints
ligaments
tendons
cartilage

Question 5

Skeletal muscles determine and contribute to

Answer 5

Determine shape, form, and movement

Contribute to posture

Question 6

Nervous system regulates

Answer 6

Movement and posture
balance/alignment
proprioception (CN 8) where you are in relation to other things
Awareness of body positions and parts

Question 7

Benefits of mobility and exercise

Answer 7

Keepts us fit and control weight 
combat health conditions and disease 
improves mood and attitude 
manage stress 
boosts energy 
promotes better sleep 
improves health 
Goal: 30 minutes every day

Question 8

Pathologies influencing activity tolerance

Answer 8

Musculoskeletal abnormalities 
neurological abnormalities 
metabolic diseases 
hypoxemia 
decreased cardiac function 
physical stability 
poor fitness 
pain 
infection 
chemical dependency

Question 9

Scientific knowledge base?

Answer 9

Nature of movement
alignment and balance
gravity and friction

Question 10

Unsteady patients fall If their

Answer 10

center of gravity becomes unbalanced

Question 11

Factors that influence activity and exercise

Answer 11

Developmental changes 
behavioral 
cultural and ethnic influences 
environmental:
  --- resources, weather, work site, schools, community

Question 12

Restoration of activity and chronic illness

Answer 12

Coronary artery disease
hypertension
chronic obstructive pulmonary disease
diabete mellitus

Question 13

Americans with disability’s act (1991)

Answer 13

Workers have right for special adaptations based on disability

Question 14

Functional assessment

Answer 14

standing, sitting posture/alignment 
ROM/ gait 
exercise history 
ADLs 
Independent living skills

Question 15

Planning for activity and exercise

Answer 15

Goals and outcomes
Setting priorities
Teamwork and collaboration

Question 16

Goal of activity and exercise

Answer 16

Improve or maintain the patients motor function and independence

Question 17

Implementation of activity and exercise

Answer 17

Health promotion 
Acute care 
early mobility 
Helping a patient walk 
Restorative and continuing care

Question 18

Rehabilitation

Answer 18

process of learning to live with and manage chronic and disabling conditions, often those resulting form trauma

Question 19

Goal of rehabilitation

Answer 19

patient will return to the best possible physical mental, social, vocational, and economic capacity

Question 20

Nurses told in rehab

Answer 20

Advocate fro patient 
monitor progress 
patient education/support 
coordinate holistic care 
resource to team 
communication 
plans discharge 
collaborate with an interdisciplinary team

Question 21

Helping patients exercise

Answer 21

Assess limitations 
know patients prior mobility level 
allow CV system to stabilize if goin from lying to standing 
teach breathing skills during ambulation 
assess joint limitations 
proper footwear 
move at own pace 
teach body mechanic and posture 
vital signs before and after 
pain control

Question 22

Mobility aids

Answer 22

Shoes/slippers 
lifts 
chairs/wheelchairs 
raised toilets 
gait belt 
walkers 
cane 
crutches 
handle grips

Question 23

Helping adults to exercise

Answer 23

Avoid prolonged sitting 
get up and stretch 
teach good body alignment 
use stronger joints or larger muscle groups 
planned exercise 
assess/increase weight bearing 
never too late to start exercising 
adjust exercise to age if needed
Sit and be fit programs

Question 24

Safety for the nurses

Answer 24

Use proper equipment correctly 
encourage patients to assist if able 
Proper body alignment 
Position close to object 
work as a team

Question 25

Correct body alignment

Answer 25

Head is erect 
Body symmetrical 
Spine: straight with normal curvatures 
abdomen tucked 
knees: Straight line between hips/ankles
feet on floor pointed forward 
arms hang comfortably 
center of gravity is midline and low 
Face direction of movement, AVOID twisting 
Back straight but do NOT use to lift

Question 26

Injuries very common to nurses

Answer 26

MS

Question 27

Application to nursing

Answer 27

be familiar with hospital policies on lifting/transferring patients
receive proper training for moving patients
use research standard and guidelines for position and transferring patient
use life teams and patient handling equipment to prevent injury to self

Question 28

Guidelines for exercise program

Answer 28

Assess fitness level
Design fitness program
Assemble equipment 
Get started 
Monitor progress

Question 29

Spinal stenosis

Answer 29

Narrowing of open spaces within spine which puts pressure on spinal cord and nerves

Question 30

Symptoms of spinal stenosis

Answer 30

Numbness, weakness, tingling in leg, arm, or hand, feeding deficits, bowel and bladder incontinence, pain

Question 31

Causes of spinal stenosis

Answer 31

Genetic, overgrowth of bone, herniated disks, thickening ligaments, tumors, injuries

Question 32

Look at assessment for spinal stenosis