1.IMrs.IKeatingIisIaI70-yearoldIwomanIsufferingIfromIarthritis.ISheIisIseeingItheInurseIpractitionerIforIherIregularIcheckup.IForIaIpersonIwithIchronicIdegenerativeIconditions,IwhichIofItheIfollowingIshouldItheInurseIsuggestIforIhealthIpromotion?1.ITakeIherbalIsupplements.2.IIncreaseIphysicalIactivity.3.ITakeIAleve.4.IGetIaImassage.I-I1.IAnswer:I2Rationale:1.AlthoughIthereImayIbeIsomeIherbalIsupplementsIthatIcanIhelpIwithIarthritis,IthisIisInotItheIbestIsuggestionIbecauseIitIdoesInotIpromoteIincreasedIphysicalIactivity.2.IIncreasedIphysicalIactivityIinIolderIadultsIpromotesIwellnessIandIqualityIofIlife.3.MedicationImayIbeIhelpfulIforIreliefIofIsymptomsIbutIdoesInotInecessarilyIpromoteIincreasedIphysicalIactivity,IwhichIcanIhelpIleadItoIbetterIhealth.4.IMassageImayIprovideItemporaryIreliefIforIarthriticIjoints,IbutIphysicalIactivityIisIwhatIcanIhelpIleadItoIbetterIhealth.2.IManyIadultsIfindIreasonsIorIbarriersIforInotIbeingIableItoIexercise.IWhichIofItheIfollowingIisIanIexampleIofIaIpatientIbarrier?1.IGoodIhealth,InoIfunctionalIlimitations.2.IInsuranceIincentive.3.IHighIbodyImassIindexI(BMI).4.IFrequentIcontactIwithIprescriber.I-I2.IAnswer:I3Rationale: 1.GoodIhealth,InoIfunctionalIlimitationsIisIanIexampleIofIaIpatientIfacilitatorIbecauseIitIisInotIcounterintuitiveItoIpursuingIgoodIhealth.2.IInsuranceIincentiveIisIanIexampleIofIaIpatientIfacilitatorIbecauseIitIprovidesIincentiveIforItheIpatient.3.IHighIBMIIisIanIexampleIofIaIpatientIbarrierIbecauseIitIisIsomethingIthatImayIseemIinsurmountableItoIaIpatient.4.IFrequentIcontactIwithItheIprescriberIisIanIexampleIofIaIpatientIfacilitatorIbecauseIitIprovidesIaccountabilityIinItheIpursuitIofIgoodIhealth.3.IMr.IOsorioIisIaI65-yearoldImaleIwhoIrecentlyIretiredIbecauseIofIaImedicalIcondition.IHeIhasIgoodIfamilyIsupportIandIisIveryImotivatedItoIstartIaIwellnessIprogramItoIpreventIworseningIofIhisIcondition.ITheseIfactorsIareIanIexampleIof:1.IBarriers2.IIncentives3.IPositiveIself-efficacy4.IFacilitatorsI-I3.IAnswer:I4Rationale:1.BarriersIareIthingsIthatIpreventIorIhinderIpatientsIfromIexercising.2.IIncentiveIisIoneIkindIofIpatientIfacilitator,IlikeIfamilyIsupport.3.PositiveIself-efficacyIisIanotherIkindIofIpatientIfacilitator,IlikeIfamilyIsupport.4.FacilitatorsIareIthingsIthatIhelpIaIpatientIdesireIexerciseIandIhealthIpromotion,IsoItheseIareIfacilitators.4.ITheIAmericanICollegeIofISportsIMedicineI(ACSM)IhasIdesignedIprogramsItoIincorporateIexerciseIintoIeveryIpatientIencounter.IWhichIofItheIfollowingIisItheIcorrectIphraseIforIthisIprogram?1.IBackItoIExercise2.IHealthIandIWellness3.IExerciseIisIMedicine4.IExerciseIisIWellnessI-I4.IAnswer:I3 Rationale:1.IBackItoIExerciseIisInotItheIcorrectIphraseIforItheIprogramItheIACSMIdesigned.2.IHealthIandIWellnessIisInotItheIcorrectIphraseIforItheIprogramItheIACSMIdesigned.3.IExerciseIisIMedicineIisItheIcorrectIphraseIforItheIprogramItheIACSMIhasIdesignedItoIincorporateIdiscussionIofIexerciseIintoIpatientIencounters.4.IExerciseIisIwellnessIisInotItheIcorrectIphraseIforItheIprogramItheIACSMIdesigned.4.IWhichIofItheIfollowingIshouldInurseIpractitionersIsuggestItoIcounterIcommonIpatientIexcusesIforInotIexercising?1.IJoinIaIgym.2.IFindIanIexerciseI”buddy.”3.ITakeIaI10-minuteIwalkIeveryIday.4.IGoItoItheIYMCA.I-I5.IAnswer:I3Rationale:1.JoiningIaIgymIisInotItheIbestIsuggestionItoIcounterIexcusesInotItoIexerciseIbecauseIhavingItoIgoItoItheIgymImayIbecomeIanotherIexcuse.IThereImayIalsoIbeIfinancialIandItransportationIissuesIaddingItoItheIreasonsInotItoIexercise.2.IFindingIanIexerciseI”buddy”ImayIbeIhelpfulIbutIstillImayIimposeItheIexcuseIofInotIbeingIableItoIfindIone.3.ITakingIaI10-minuteIwalkIeveryIdayIisItheIbestIsuggestion.IWithIthisIsuggestionIaIpatientIcannotImakeItheIexcuseIofInotIhavingItimeIorIequipment.4.IGoingItoItheIYMCAIisInotItheIbestIsuggestionItoIcounterIexcusesIforItheIsameIreasonsIasIjoiningIaIgymIisInotItheIbestIsuggestion.6.IOlderIadultsIwhoIhaveIchronicIconditionsIandIareIconsideringIanIincreaseIinItheirIphysicalIactivityIshould:1.IStartIslowly,IusingIlowerIweightsIwithIhighIrepetitions.2.IConsultIwithIaIpersonalItrainer.3.IConsultIaIhealth-careIproviderItoIhelpIsetIphysicalIactivityIgoalsIthatIareIrealisticIandIsafe.4.IStartIwithIlowIrepetitionsIbutIheavierIweights.I-I6.IAnswer:3I Rationale:1.IStartingIslowlyIwithIlowIweightsIandIhighIrepetitionsImayIbeIaIgoodIstartIbutImustIbeImonitoredIorIinitiatedIbyIanIappropriateImedicalIprofessionalIforIinstructionIinIproperIuse.2.IAIconsultationIwithIaIpersonalItrainerIisInotItheIbestIoptionIbecauseIsomeItrainersImayInotIbeIfamiliarIwithIchronicIconditions.3.IConsultingIaIhealthcareIproviderIforIphysicalIactivityIgoalsIthatIareIrealisticIandIsafeIisItheIbestIoption.4.IStartingIwithIlowIrepetitionsIbutIheavierIweightsIisInotIaIgoodIwayItoIstartIanIexerciseIprogramIbecauseIitImayIresultIinIinjury.7.IChallengesItoIincreasingIphysicalIactivityIareIdifferentIforIeveryone.IForIinstance,IsomeIpatientsImayIbeIexperiencingIdepressionIorIloss,IsomeImayIhaveIhadIsignificantIlifeIchanges,IandIothersImayIbeIdealingIwithIfunctionalIlimitations.IAsIrelatesItoIincreasingIphysicalIactivity,ItheseIareIexamplesIofIwhat?1.IPatientIexcuses2.IPatientIfacilitators3.IPatientIignoranceIregardingIwhatItoIdo4.IPatientIbarriersI-I7.IAnswer:I4IRationale:1.Depression,IinterpersonalIloss,IsignificantIlifeIeventIchanges,IandIfunctionalIlimitationsIareInotIchoicesIthatIoneImakesIsoIareInotIexcuses.2.PatientIfacilitatorsIareIthingsIthatIencourageIaIpatientItoIdoIwhatIisIneededIforIgoodIhealth.3.TheseIexamplesIareInotItheIresultIofIwhatIoneIdoesn’tIknow.4.TheseIareIexamplesIofIpatientIbarriersIbecauseItheyIdiscourageIaIpatientIfromIaIdesireItoIpromoteIhealth.8.IWhichIofItheIfollowingIisItheIfocusIofIadditionalIstudiesIaboutItheIrelationshipIbetweenIphysicalIactivitiesIandIcognitiveIchanges?1.IDietIandIsupplements2.IProviderIandIpatients3.ISocialIsupportIandIpatients4.IMedicalIconditionsIandImedicationsI-I8.IAnswer:I1