NSG 1050 Exam #4

Which complementary therapies are most easily learned and applied by the nurse? 1. Massage therapy 2. Traditional Chinese medicine 3. Progressive relaxation 4. Breathwork and imagery 5. Therapeutic Touch

3 and 4

The nurse is caring for a patient experiencing a stress response. The nurse plans care with the knowledge that systems respond to stress in what manner? 1. always fail and cause illness and disease. 2. Cause structural damage to the body 3. React the same way for all individuals 4. Protect an individual from harm in the short term but cause negative responses over time.

4

Children: ___ minutes a day Adults: ____ minutes/ week of moderate intensity aerobic exercise with muscle strengthening 2 or more days a week 10 minutes at a time is A-OK!!! Older Adults: ____ minutes/week of moderate intensity aerobic exercise with muscle strengthening 2 or more days a week

60min 150min/wk 150min/wk

4. *________ ________: energy used to adjust to changing physical and biological environmental situations (emotional/physical trauma, extreme cold, dramatic change in kcal intake); Not calculated into average energy requirements

Adaptive Thermogenesis

When obtaining a health history, the nurse knows that it is most important to assess the patient's use of herbs to: 1. evaluate the effectiveness of the products. 2. teach the patient about the safe use of herbs. 3. determine the risk for drug-herb interactions. 4. confirm the patient's desire for more holistic health care.

Answer = 3

____ _______ _____ (BMR): rate of energy expenditure for these activities Rate may vary from person to person Slowest when sleeping or at rest Usually measured after a restful sleep and overnight fast

Basal Metabolic Rate

1._____ _______: amount of energy required to maintain life sustaining activities Maintain body temperature Keep lungs inhaling/exhaling Bone marrow making RBCs Heart beating

Basal Metabolism

__________: long history of enabling intense physical activity; carb loading prior to athletic events is common (first studies done in 1939)

Carbohydrates

Biophysical Developmental Theories Gesell's Theory Growth pattern is unique Sequential cephaloucaudal and proximodistal Adequate nutrition and absence of disease affect it

Cephalocaudal pattern describes the sequence in which growth is fastest at the top (head then down); proximodistal growth starts at the center of the body and moves toward the extremities.

_______ ____: drugs and/or diets that are thought to increase athletic performance (not always research based)

Ergogenic aids

Three major components of PHYSICAL ACTIVITY: 1. _______: moving muscles to full extent without injury (stretching, yoga) 2. ______ strength: ability of muscles to preform hard or prolonged work (lifting weights, carrying a child) 3. Cardiovascular ______: ability of the body to take in, deliver, and use oxygen for physical work (best physiologic index of total body endurance) (running, brisk walking, swimming)

Flexibility Muscular Endurance

2. Physical Activity: body movement by skeletal muscles that results in energy expenditure Most variable of the three components Depends on three factors: 1. ______ _____: larger muscle mass requires more energy 2. ____ weight: a heavier person uses more energy than a lighter person 3. _____: duration, frequency, and intensity

Muscle mass Body Activity

Piaget's Stages of Cognitive Development

Piaget concerned how the mind works rather than with what it does.

_____ ______ __________ (REE) Fewer restrictions on recent food intake and physical activity

Resting Energy Expenditure

3. ______ ______ ___ _____ (TEF): energy needed to support the increase in cellular activity due to digestion, absorption, metabolism and storage; also called diet-induced thermogenesis

Thermic Effect of Food

Sports drinks can be useful during ______ events (60-90 minutes or longer)

endurance

Water is the _______ ingredient (*thirst lags behinds the body's need for water)

essential

Protein: ____ protein snacks after a workout can help with _____ repair and _______; however, large amounts of excess protein will be stored as ___

high muscle; rebuilding fat

Older adults with chronic illness: avoid ______; focus on balance to help prevent falls; incorporate social aspect if possible Pregnant women: Most who are healthy during pregnancy can follow adult guidelines. This is a high risk time for patterns of _______ or ______. Physical disabilities: activities may need to be adapted, but activity is still a priority at whatever level the client is capable Diabetics or hypertensive patients: need to learn to carefully ____-______ during exercise; may need to adjust insulin or meds

inactivity overweight; obesity self-monitor

Gender -Women tend to have _____ BMR due to less lean tissue mass Growth -Children, adolescents, and pregnant women have _______ BMR Age -Lean body mass diminishes; physical activity is usually decreased Physical Activity -Physical activity tied to gender and other factors Body composition and size -BMR is high in tall people and those who weigh more

lower increased

Vitamins and Supplements: remember the _______ ________ curve; more is not always better

normal distribution curve

Fat: need a certain amount of fat for optimal _______; less than 35% of total diet is ideal

performance