1.IMrs.IKeatingIisIaI70-yearoldIwomanIsufferingIfromIarthritis.ISheIisIseeingItheInurseIpractitionerIforIherIregularIchecku
p.IForIaIpersonIwithIchronicIdegenerativeIconditions,IwhichIofItheIfollowingIshouldItheInurseI
suggestIforIhealthIpromotion?
1.ITakeIherbalIsupplements.
2.IIncreaseIphysicalIactivity.
3.ITakeIAleve.
4.IGetIaImassage.I-I1.IAnswer:I2
Rationale:
1.AlthoughIthereImayIbeIsomeIherbalIsupplementsIthatIcanIhelpIwithIarthritis,IthisIisInotItheIb
estIsuggestionIbecauseIitIdoesInotIpromoteIincreasedIphysicalIactivity.
2.IIncreasedIphysicalIactivityIinIolderIadultsIpromotesIwellnessIandIqualityIofIlife.
3.MedicationImayIbeIhelpfulIforIreliefIofIsymptomsIbutIdoesInotInecessarilyIpromoteIincrease
dIphysicalIactivity,IwhichIcanIhelpIleadItoIbetterIhealth.
4.IMassageImayIprovideItemporaryIreliefIforIarthriticIjoints,IbutIphysicalIactivityIisIwhatIcanI
helpIleadItoIbetterIhealth.
2.IManyIadultsIfindIreasonsIorIbarriersIforInotIbeingIableItoIexercise.IWhichIofItheIfollowingI
isIanIexampleIofIaIpatientIbarrier?
1.IGoodIhealth,InoIfunctionalIlimitations.
2.IInsuranceIincentive.
3.IHighIbodyImassIindexI(BMI).
4.IFrequentIcontactIwithIprescriber.I-I2.IAnswer:I3
Rationale:
1.GoodIhealth,InoIfunctionalIlimitationsIisIanIexampleIofIaIpatientIfacilitatorIbecauseIitIisInotI
counterintuitiveItoIpursuingIgoodIhealth.
2.IInsuranceIincentiveIisIanIexampleIofIaIpatientIfacilitatorIbecauseIitIprovidesIincentiveIforIth
eIpatient.
3.IHighIBMIIisIanIexampleIofIaIpatientIbarrierIbecauseIitIisIsomethingIthatImayIseemIinsurm
ountableItoIaIpatient.
4.IFrequentIcontactIwithItheIprescriberIisIanIexampleIofIaIpatientIfacilitatorIbecauseIitIprovide
sIaccountabilityIinItheIpursuitIofIgoodIhealth.
3.IMr.IOsorioIisIaI65-yearoldImaleIwhoIrecentlyIretiredIbecauseIofIaImedicalIcondition.IHeIhasIgoodIfamilyIsupportIand
IisIveryImotivatedItoIstartIaIwellnessIprogramItoIpreventIworseningIofIhisIcondition.ITheseIfa
ctorsIareIanIexampleIof:
1.IBarriers
2.IIncentives
3.IPositiveIself-efficacy
4.IFacilitatorsI-I3.IAnswer:I4
Rationale:
1.BarriersIareIthingsIthatIpreventIorIhinderIpatientsIfromIexercising.
2.IIncentiveIisIoneIkindIofIpatientIfacilitator,IlikeIfamilyIsupport.
3.PositiveIself-efficacyIisIanotherIkindIofIpatientIfacilitator,IlikeIfamilyIsupport.
4.FacilitatorsIareIthingsIthatIhelpIaIpatientIdesireIexerciseIandIhealthIpromotion,IsoItheseIareIf
acilitators.
4.ITheIAmericanICollegeIofISportsIMedicineI(ACSM)IhasIdesignedIprogramsItoIincorporateIe
xerciseIintoIeveryIpatientIencounter.IWhichIofItheIfollowingIisItheIcorrectIphraseIforIthisIprog
ram?
1.IBackItoIExercise
2.IHealthIandIWellness
3.IExerciseIisIMedicine
4.IExerciseIisIWellnessI-I4.IAnswer:I3
Rationale:
1.IBackItoIExerciseIisInotItheIcorrectIphraseIforItheIprogramItheIACSMIdesigned.
2.IHealthIandIWellnessIisInotItheIcorrectIphraseIforItheIprogramItheIACSMIdesigned.
3.IExerciseIisIMedicineIisItheIcorrectIphraseIforItheIprogramItheIACSMIhasIdesignedItoIincor
porateIdiscussionIofIexerciseIintoIpatientIencounters.
4.IExerciseIisIwellnessIisInotItheIcorrectIphraseIforItheIprogramItheIACSMIdesigned.
4.IWhichIofItheIfollowingIshouldInurseIpractitionersIsuggestItoIcounterIcommonIpatientIexcus
esIforInotIexercising?
1.IJoinIaIgym.
2.IFindIanIexerciseI”buddy.”
3.ITakeIaI10-minuteIwalkIeveryIday.
4.IGoItoItheIYMCA.I-I5.IAnswer:I3
Rationale:
1.JoiningIaIgymIisInotItheIbestIsuggestionItoIcounterIexcusesInotItoIexerciseIbecauseIhavingIt
oIgoItoItheIgymImayIbecomeIanotherIexcuse.IThereImayIalsoIbeIfinancialIandItransportationIi
ssuesIaddingItoItheIreasonsInotItoIexercise.
2.IFindingIanIexerciseI”buddy”ImayIbeIhelpfulIbutIstillImayIimposeItheIexcuseIofInotIbeingIa
bleItoIfindIone.
3.ITakingIaI10-
minuteIwalkIeveryIdayIisItheIbestIsuggestion.IWithIthisIsuggestionIaIpatientIcannotImakeItheI
excuseIofInotIhavingItimeIorIequipment.
4.IGoingItoItheIYMCAIisInotItheIbestIsuggestionItoIcounterIexcusesIforItheIsameIreasonsIasIj
oiningIaIgymIisInotItheIbestIsuggestion.
6.IOlderIadultsIwhoIhaveIchronicIconditionsIandIareIconsideringIanIincreaseIinItheirIphysicalI
activityIshould:
1.IStartIslowly,IusingIlowerIweightsIwithIhighIrepetitions.
2.IConsultIwithIaIpersonalItrainer.
3.IConsultIaIhealth-careIproviderItoIhelpIsetIphysicalIactivityIgoalsIthatIareIrealisticIandIsafe.
4.IStartIwithIlowIrepetitionsIbutIheavierIweights.I-I6.IAnswer:3I
Rationale:
1.IStartingIslowlyIwithIlowIweightsIandIhighIrepetitionsImayIbeIaIgoodIstartIbutImustIbeImon
itoredIorIinitiatedIbyIanIappropriateImedicalIprofessionalIforIinstructionIinIproperIuse.
2.IAIconsultationIwithIaIpersonalItrainerIisInotItheIbestIoptionIbecauseIsomeItrainersImayInotI
beIfamiliarIwithIchronicIconditions.
3.IConsultingIaIhealthcareIproviderIforIphysicalIactivityIgoalsIthatIareIrealisticIandIsafeIisItheIbestIoption.
4.IStartingIwithIlowIrepetitionsIbutIheavierIweightsIisInotIaIgoodIwayItoIstartIanIexerciseIpro
gramIbecauseIitImayIresultIinIinjury.
7.IChallengesItoIincreasingIphysicalIactivityIareIdifferentIforIeveryone.IForIinstance,IsomeIpati
entsImayIbeIexperiencingIdepressionIorIloss,IsomeImayIhaveIhadIsignificantIlifeIchanges,IandI
othersImayIbeIdealingIwithIfunctionalIlimitations.IAsIrelatesItoIincreasingIphysicalIactivity,Ith
eseIareIexamplesIofIwhat?
1.IPatientIexcuses
2.IPatientIfacilitators
3.IPatientIignoranceIregardingIwhatItoIdo
4.IPatientIbarriersI-I7.IAnswer:I4
I
Rationale:
1.Depression,IinterpersonalIloss,IsignificantIlifeIeventIchanges,IandIfunctionalIlimitationsIareIn
otIchoicesIthatIoneImakesIsoIareInotIexcuses.
2.PatientIfacilitatorsIareIthingsIthatIencourageIaIpatientItoIdoIwhatIisIneededIforIgoodIhealth.
3.TheseIexamplesIareInotItheIresultIofIwhatIoneIdoesn’tIknow.
4.TheseIareIexamplesIofIpatientIbarriersIbecauseItheyIdiscourageIaIpatientIfromIaIdesireItoIpr
omoteIhealth.
8.IWhichIofItheIfollowingIisItheIfocusIofIadditionalIstudiesIaboutItheIrelationshipIbetweenIph
ysicalIactivitiesIandIcognitiveIchanges?
1.IDietIandIsupplements
2.IProviderIandIpatients
3.ISocialIsupportIandIpatients
4.IMedicalIconditionsIandImedicationsI-I8.IAnswer:I1