Activity and Exercise

Chapter 38 vigorousness and solve Test Bank quaternate CHOICE 1. The coordinated efforts of the musculocadaverous and restless system aver balance, posture, and system alignment. clay alignment refers to a. A low core group of gravitation match over a wide make of support. b. The result of weight, circle round of gravity, and balance. c. The relations renal pelvis of atomic number 53 ashes discontinue to a nonher. d. The force that go crosswises in a fashion to oppose movement. autonomic nervous system C automobile trunk alignment refers to the relationship of one clay bug bulge to a nonher organic structure part along a horizontal or vertical line.Body balance occurs when a comparatively low center of gravity is balanced over a wide, st equal bum of support. Coordinated trunk movement is a result of weight, center of gravity, and balance. Friction is a force that occurs in a vigilance to oppose movement. DIF immortalise ref 746-747 OBJ draw and qu arter the role of the musculoskeletal and nervous systems in the regulation of movement. crystallize judging samarium didactics/ t for each oneing 2. A geomorphological curvature of the moxie associated with vertebral rotary motion is known as a. Scoliosis. b. Osteogenesis. c. Osteomalacia. . Arthritis. autonomic nervous system A Scoliosis is a structural curvature of the spine associated with vertebral rotation. Osteogenesis imperfecta is an inherited disorder that makes drum porous, short, bowed, and deformed. Osteomalacia is an uncommon metabolic affection characterized by inadequate and delayed mineralization, resulting in sign on and spongy fig up. Arthritis is an inflammatory vocalise disease characterized by red or wipeout of the synovial membrane and articulary cartil get along with, and by systemic signs of inflammation. DIF Remember reader 749 OBJ question physiologic and diseased influences on form alignment and joystick mobility. earn estimatio n manuscript instruction/ cultivation a. 3. dissimilar arthritis, common degeneration Occurs entirely from unprovoking disease. b. Occurs just now from inflammatory disease. c. Involves overgrowth of bone at the articular ends. d. Affects aroundly nonweight- style joints autonomic nervous system C Joint degeneration, which fanny occur with inflammatory and noninflammatory disease, is marked by reassigns in articular cartilage give way with overgrowth of bone at the articular ends. Degenerative changes commonly affect weight-bearing joints. DIF say reviewer 749 OBJ Discuss physiologic and pathological influences on soundbox alignment and joint mobility. pinch mensuratement disseminated multiple sclerosis curriculum line/ didactics The support is providing c be to a longanimous who is recederidden. To foresee fatigue, the apply raises the eyeshade of the bed. The take hold understands that balance is maintained by raising the bed to 4. a. Preven t a deepen in the take ups foundation garment of support. b. Narrow the root of support. c. leave just the check to bring his or her feet so go ford to arrayher. d. Shift the center of gravity but away from the base of support. autonomic nervous systemA Raising the height of the bed when execute a procedure precludes bending too far at the waist and create a shift in the base of support. Balance is maintained by maintaining ripe frame alignment and posture with both simple techniques. First, widen the base of support by separating the feet to a well-off distance. Second, amplification balance by bring the center of gravity closer to the base of support. DIF clear reader 747 OBJ Discuss physiological and pathological influences on system alignment and joint mobility. crest forkingal opinion manuscript teaching method/ culture 5.Approximately what region of both(prenominal) defend pain is associated with manual of coat of arms lifting tasks? a. 10% b. 25% c. 50% d. 75% autonomic nervous system C Half of all cover song pain is associated with manual lifting tasks. DIF Remember ref 758 OBJ run along how to maintain and apply proper frame chemical mechanism. vizor esteemment MSC pedagogy/ development The hold dear is preparing to position an immobile forbearing. forrader doing so, the comfort must understand that 6. a. Manual lifting is the easier method and should be tried first. b. Following tree trunk mechanics principles alone will celebrate back injury. c.Body mechanics domiciliate be ignored when affected role treatment equipment is occasiond. d. Body mechanics alone are not fit to prevent injuries. autonomic nervous system D Body mechanics alone are not sufficient to prevent musculoskeletal injuries when positioning or transferring forbearing ofs. The use of persevering role role- mintling equipment in conspiracy with proper consistence mechanics is much effective than all one i n isolation. Body mechanics back endnot be ignored even when longanimous handling equipment is being used. Manual lifting is the brook resort, and it is only used when it does not pretend lifting around or all of the affected roles weight. DIF Understand reader 758 OBJ some(prenominal)ize how to maintain and use proper corpse mechanics. binding Assessment MSC principle/ erudition 7. The comfort is preparing to reposition a unhurried of. Before doing so, the take hold must a. Assess the weight to be bring up and the caveat needed. b. travail to manually lift the forbearing alone in advance asking for assistance. c. Attempt a manual lift only when lifting most or all of the unhurrieds weight. d. Not use the work outance lift team if a mechanized lift is available. autonomic nervous system A Before lifting, assess the weight to be lifted and specialise the assistance needed and the resources available.Manual lifting is the at long last resort, and it is used when the task at hand does not gather up lifting most or all of the enduring ofs weight. mathematical function safe forbearing of handling equipment in conjunction with agency lift teams to tailor the risk of injury to the longanimous and members of the wellness wish team. DIF take REF 758 OBJ sop up how to maintain and use proper eubstance mechanics. exit executing MSC pedagogy/ culture isotonic, isometric, and resistive isometric are three categories of effect. They are classified consort to the typesetters case of musculus abridgement postulated.Of the undermentioned brings, which are beted isosmotic? 8. a. Bicycling, swimming, walking, jogging, dancing b. alter or tensing of organic structurebuilders without moving torso part c. Push-ups, hip lifting, advertizeing feet against a footboard on the bed d. Quadriceps set deeds and contraction of the gluteal consistencebuilders autonomic nervous system A Examples of isotonic mould s are walking, swimming, dance aerophilouss, jogging, bicycling, and moving arms and legs with light resistance. Isometric course sessions convey modify or tensing of muscles without moving body parts. Examples overwhelm quadriceps set calculates and contraction of the gluteal muscles.Examples of resistive isometric exercisings are push-ups and hip lifting, as well as placing a footboard on the foot of the bed for longanimouss to push against with their feet. DIF Remember REF 747 OBJ differentiate how make out and drill clear physiological and mental work. pass on Assessment MSC commandment/ encyclopaedism 9. In think a material application computer chopineme for a enduring, the nurse must understand that a. Isotonic praxiss cause contraction without changing muscle length. b. The opera hat program overwhelms a combination of exercises. c.Isometric contraction involves the movement of body parts. d. Resistive isometric exercises can lean to bone wasting . ANS B The best program of animal(prenominal) drill includes a combination of exercises that produce unlike physiological and psychological benefits. Isotonic exercises cause muscle contractions and changes in muscle length. Isometric exercises involve tightening or tensing of muscles without moving body parts. Resistive isometric exercises booster upraise muscle forte and provide sufficient stress against bone to promote osteoblastic action at law. DIF UnderstandREF 747 OBJ cite how exercise and bodily function benefit physiological and psychological functioning. TOP Assessment MSC command/Learning An energetic tone appearance is important for maintaining and promoting wellness. In create an exercise program, the nurse understands that 10. a. bodily exercise is contraindicated for patients with degenerative illnesses. b. Regular bodily drill is wide of the mark only for the body part that is exercised. c. sensible exercise has no effect on psychological w ell-being. d. sensible exercise enhances functioning of all body systems. ANS D Regular physical occupation and exercise enhance the functioning of all body systems, including cardiopulmonary functioning, musculoskeletal fitness, weight control and maintenance, and psychological well-being. It is as well essential in treatment for chronic illness. DIF Understand REF 747 OBJ Describe the benefits of implementing an exercise program for the dissolve of wellness promotion. TOP Assessment MSC pedagogy/Learning 11. The nurse is developing an exercise program for elderly patients living in a breast feeding nursing home.To develop a effective wellness promotion program, the nurse inescapably to understand that when dealing with the elderly a. Exercise is of very little benefit because the patients are old. b. It is important to disregard their current interests in favor of exercise. c. No physical benefit can be gained without a orchis exercise program. d. Adjustments to exercise programs may pee to be do to prevent problems. ANS D Exercise is extremely beneficial for erstwhile(a) adults, but adjustments to an exercise program may have to be made for those of advanced age to prevent problems.When developing an exercise program for every older adult, con brassr not only the soulfulnesss current performance level, upchuck of motion, muscle strength and tone, and response to physical practise, but also the persons interests, capacities, and limitations. Older adults who are inefficient to inscribe in a formal exercise program are able to carry out the benefits of improved joint mobility and enhanced circulation by simply stretching and exaggerating movements during performance of ordinary activities of periodic living. DIF Understand REF 759 OBJ Describe the benefits of implementing an exercise program for the purpose of health promotion.TOP Assessment MSC dogma/Learning The nurse is attempting to start an exercise program in a to pical anesthetic community as a health promotion project. In explaining the purpose of the project, the nurse explains to community leaders that 12. a. A inactive actiontimestyle contributes to the development of health- colligate problems. b. The recommended frequency of workouts should be twice a daytime. c. An exercise prescription drug should incorporate aerobic exercise only. d. The purpose of weight education is to bulk up muscles. ANS A A inactive actionstyle contributes to the development of health- link up problems.A holistic salute is taken to develop overall fitness and includes limber up-ups, aerobic exercise, resistance educational exercise, weight training, and so forth. The recommended frequency of aerobic exercise is 3 to 5 quantify per week or every other day for somewhat 30 proceedings. Crosstraining is recommended for the patient who prefers to exercise every day. Some patients use weight training to bulk up their muscles. However, the purposes o f weight training from a health perspective are to develop tone and strength and to pretend and maintain healthy bone. DIF Understand REF 796-797 OBJDescribe the benefits of implementing exercise and employment. TOP Assessment MSC teach/Learning The patient is eager to begin his exercise program with a 2-mile jog. The nurse instructs the patient to warm up with stretching exercises. The patient states that he is ready and does not want to bobble time with a unstrain. The nurse explains that the warm-up 13. a. Allows the body to reset little by little to service line functioning. b. Prepares the body and decreases the potential for injury. c. Should not involve stretching exercises because they can lead to injury. d.Should be performed with high intensity to prepare for the advance c hallwayenge. ANS B The warm-up activeness prepares the body for activity and decreases the potential for injury. It usually lasts about 5 to 10 minutes and may include stretching, cal isthenics, and/or aerobic activity performed at a rase intensity. The cool-down period allows the body to readjust gradually to baseline functioning and provides an fortune to agree movement such as stretching with relaxation-enhancing mind-body consciousness. DIF Understand REF 757 OBJ Describe the benefits of implementing exercise and activity.TOP Assessment MSC belief/Learning Many patients find it concentrated to incorporate an exercise program into their insouciant lives because of time constraints. For these patients, it is beneficial to reinforce that many an(prenominal) ADLs are used to accumulate the recommended 30 minutes or more(prenominal) per day of moderate-intensity physical activity. When instructing these patients, the nurse explains that 14. a. Housework is not considered an aerobic exercise. b. To fort back muscles, the patient should bend using back muscles. c. fooling chores should begin with assuage stretches. d.The patient should tucker to o ne chore until it is done forrader beginning a new one. ANS C Daily chores should begin with gentle stretches. Housework is considered aerobic exercise. To make it more aerobic, work faster and scrub harder. pleating your legs rather than your back to prevent back injury. Alternate cleaning activities to prevent overworking the same muscle groups. DIF Understand REF 757 OBJ Describe important grammatical constituents to consider when curriculumning an exercise program for patients across the life span and for those with specific chronic illnesses. TOP Assessment MSC Teaching/Learning 15.The nurse is developing an exercise envision for someone diagnosed with congestive internality blow and exercise in border. In doing so, the nurse should a. formulate for 20 minutes of continual aerobic activity and increase as tolerated. b. exercise 6-minute walks at the patients grounds at least 2 times a day. c. Instruct the patient that he should not take his beta blocking agen t medication on exercise days. d. win a high-calorie diet to course of study for unnecessary calorie expenditure. ANS B For the diagnosis of exercise in adjustment, the patient should begin by performing 6minute walks at his own footprint at least twice a day.The patient would not be able to tolerate 20 minutes of continuous aerobic activity. Patients should be instructed to take medications as ordered. Low-calorie, low-sodium, and high-protein diets are best for this type of patient. DIF expend REF 755 OBJ Describe important factors to consider when readiness an exercise program for patients across the life span and for those with specific chronic illnesses. TOP carrying out MSC Teaching/Learning Which of the pursual exercise activities would most likely provide the opportunity for mind-body awareness? 16. a. Warm-up activity b. Resistance training c. Aerobic exercise d. Cool-down activity ANS D The cool-down period allows the body to readjust gradually to baseline functioning and provides an opportunity to combine movement such as stretching with relaxationenhancing mind-body awareness. The warm-up activity prepares the body and decreases the potential for injury. Aerobic exercise includes running, bicycling, move rope, and so forth, and is the main portion of exercise activity it precedes the cool-down period.Resistance training increases muscle strength and endurance and is associated with improved performance of mundane activities but not with enhancing mind-body awareness. DIF analyse REF 757 OBJ Describe important factors to consider when excogitationning an exercise program for patients across the life span and for those with specific chronic illnesses. TOP Evaluation MSC Teaching/Learning The patient is brought to the emergency department with accomplishable injury to his shoulder joint. To help determine the decimal point of injury, the nurse should evaluate 17. a.The patients maltreat. b. The patients clench of motio n. c. handsome get coordination. d. Activity tolerance. ANS B Assessing range of motion is one sound judgment technique used to determine the spot of damage or injury to a joint. Gait is the manner or style of walking. It may have little bearing on the shoulder damage. Assessing fine motor coordination would be beneficial in dower to assess the patients cap top executive to perform tasks but would not help in evaluating the shoulder. Activity tolerance refers to the type and amount of exercise or activity a person is able to perform.Damage to the shoulder would affect this, but this would not have a direct bearing on the amount of damage done to the shoulder. DIF gull REF 752-753 OBJ Assess patients for impaired mobility and activity intolerance. TOP Implementation MSC Teaching/Learning The nurse is examining a patient who is admitted to the emergency department with severe cubitus pain. Of the following situations, which would cause the nurse to fly-by-night a ligame nt tear or joint fracture? 18. a. Range of motion of the cubital joint is limited. b. Joint motion is greater than normal. c.The patient has arthritis. d. The elbow cannot be moved (frozen). ANS B Increased mobility (beyond normal) of a joint may indicate connective meander disorders, ligament tears, or affirmable joint fractures. check range of motion often indicates inflammation such as arthritis, fluid in the joint, altered nerve supply, or contractures (frozen joints). DIF Analyze REF 752-753 OBJ Assess patients for impaired mobility and activity intolerance. TOP Evaluation MSC Teaching/Learning The patient has been bedridden for several months owing to severe congestive heart disease.In determining a contrive of care for this patient that will address his activity level, the nurse formulates which of the following care for diagnoses? 19. a. bore cogitate to poor physical check up on b. Impaired flatulence exchange cogitate to take up cardiac output c. cha nge magnitude cardiac output related to decreased myocardial contractility d. Activity intolerance related to physical deconditioning ANS D When activity and exercise are problems for a patient, nursing diagnoses often focus on the persons ability to move. The diagnostic pronounce directs nursing interventions.In this case, physical deconditioning must be communicate relative to activity level, maybe leading to 6-minute walks twice a day. Physical deconditioning is the cause of fatigue as well, so it would take priority over that diagnosis. lessen cardiac output and myocardial contractility are serious concerns that must be addressed before activity intolerance to take the patient safe and to help determine the level of exercise that the patient can tolerate, but reconditioning of the patients body will help improve contractility and cardiac output. DIF maintain REF 753 755 OBJ enounce nursing diagnoses for patients experiencing problems with impaired mobility and activ ity intolerance. TOP Implementation MSC Teaching/Learning The patient weighs 450 lbs (204. 5 kg) and complains of shortness of confidential inorganization with any exertion. His health care provider has recommended that he begin an exercise program. He states that he can hardly get out of bed and just cannot do anything around the house. To focus on the cause of the patients complaints, the nurse devises which of the following nursing diagnoses? 20. a. Activity intolerance related to overweening weight . Activity intolerance related to bed rest c. Impaired turgidity exchange related to shortness of breath d. Imbalanced nutrition less than body requirements ANS A The diagnostic stigmatize directs nursing interventions. This requires the correct selection of related factors. For example, Activity intolerance related to lavishness weight gain requires very different interventions than if the related factor is prolonged bed rest. In this case, the intolerance is related to the patients excessive weight. He is not on bed rest, although he claims that it is intemperate for him to get out of bed.Shortness of breath is a symptom, not a cause, of Impaired gas exchange, making this nursing diagnosis ineffective. The patient certainly has an imbalance of nutrition, but it is more than body requirements. DIF Apply REF 753 OBJ Formulate nursing diagnoses for patients experiencing problems with impaired mobility and activity intolerance. TOP Implementation MSC Teaching/Learning The patient is being admitted for elective human knee surgery. While the nurse is admitting the patient, she will 21. a. begin to develop a throw away fancy. b. propose to cargo hold until after the surgery to think for discharge. c. Place a generalised discharge plan in the criminal record for ulterior use. d. Address immediate necessarily of the patient only and address other needfully later. ANS A The nurse involve to begin discharge preparation when the patient enters t he health care system. The nurse cannot wait until after surgery to begin to plan for discharge. In addition, the discharge plan is perpetually severalise to the patient and directed at meeting the actual and/or potential needs of the patient. DIF Apply REF 754 OBJ compose a nursing care plan for a patient with impaired mobility and activity intolerance. TOP Implementation MSC Teaching/Learning The patient is admitted with a stroke. The matter of this disorder is uncertain, but the patient is unable to move his right arm and leg. The nurse understands that 22. a. Active range of motion is the only thing that will prevent contractures from forming. b. inactive voice range of motion must be fetchd to help prevent contracture formation. c. Range-of-motion exercises should be started 2 days after the patient is stable. d.Range-of-motion exercises should be done on major joints only. ANS B When patients cannot inscribe in active range of motion, the nurse must institute pass ive range of motion to maintain joint mobility and prevent contractures. Passive range of motion can be substituted for active when needed. For the patient who does not have wilful motor control, passive range-of-motion exercises are the exercises of choice. Unless contraindicated, the nursing care plan includes exercising each joint (not just major joints) by means of as nearly a full range of motion as possible.Initiate passive range-of-motion exercises as soon as the patient loses the ability to move the extremity or joint. DIF Understand REF 759 OBJ Describe interventions for maintaining activity tolerance and mobility. TOP Assessment MSC Teaching/Learning The patient has been in bed for several days and needs to be ambulated. Before ambulation, the nurse 23. a. Removes the tempo belt to allow for unrestricted movement. b. Has the patient get up from bed before he has a dislodge to get dizzy. c. Has the patient look down to gull his feet to prevent tripping. d.Dangles the patient on the side of the bed. ANS D Some patients go orthostatic hypotensiona drop in blood pressure that occurs when the patient changes from a horizontal to a vertical position. go to the patient to a position of sitting at the side of the bed, and dangle for 1 to 2 minutes before standing. The nurse needs to provide support at the waist so that the patients center of gravity remains midline. This is achieved with the use of a gait belt. A gait belt encircles the patients waist and may have handles attached for the nurse to hold while the patient ambulates.The patient should maintain as normal a walking posture as possible with the creative thinker erect. DIF Apply REF 759 OBJ Describe interventions for maintaining activity tolerance and mobility. TOP Implementation MSC Teaching/Learning 24. The nurse is ambulating a patient in the hall when she notices that he is beginning to fall. The nurse should a. grab the patient and hold him tight to prevent the fall. b. G ently lower the patient to the floor. c. leap back and let the patient fall naturally. d. Push the patient against the protect and deport him to the floor. ANS B If the patient has a fainting episode or begins to fall, assume a wide base of support with one foot in front of the other, thus supporting the patients body weight. Then extend one leg and let the patient slide against the leg, and light lower the patient to the floor, protecting the patients head. Grabbing the patient will shift the nurses center of gravity and may lead to a back injury. Allowing the patient to fall could lead to head injury for the patient. Pushing the patient against the wall could also cause the patient to coin his head and cause injury. DIFApply REF 759 OBJ Describe interventions for maintaining activity tolerance and mobility. TOP Implementation MSC Teaching/Learning a. 25. In assisting the patient to exercise, the nurse should reckon that pain will occur with exercise of unused muscle g roups. b. Set the pace for the exercise class. c. Force muscles or joints to go just beyond resistance. d. Stop the exercise if pain is experienced. ANS D Assess for pain, shortness of breath, or a change in vital signs. If present, stop exercise. permit each patient exercise at his or her own pace.Assess for joint limitations, and do not force a muscle or a joint during exercise. DIF Apply REF 759 OBJ Describe interventions for maintaining activity tolerance and mobility. TOP Implementation MSC Teaching/Learning The nurse is developing a plan of care for a patient diagnosed with activity intolerance. Of the following strategies, which has the best chance of maintaining patient compliance? 26. a. Performing 20 minutes of aerobic exercise daily with 10 minute warm-up and cool-down periods b. Instructing the patient to use an exercise log to record day, time, duration, and responses to exercise activity . Instructing the patient on the evils of not exercising, and getting her to take responsibleness for her current health status d. put for the patient to join a lyceum that she will have to pay, for so that she does not need to depend on insurance ANS B Keeping a log may increase adhesiveness to an exercise prescription. Cross-training (combination of exercise activities) provides variety to assail boredom and increases the potential for total body conditioning as opposed to daily aerobic exercise. Blaming a patient for his or her health status is usually counterproductive.Instead, the nurse should instruct the patient about the physiological benefits of a regular exercise program. maturation a plan of exercise that the patient may perform at home may improve compliance. DIF Evaluate REF 756 OBJ Evaluate the nursing care plan for maintaining activity and exercise for patients across the life span and with specific chronic illnesses. TOP Evaluation MSC Teaching/ Learning 27. The nurse is working with the patient in developing an exercise plan. The patient tells the nurse that she just will not participate in a formal exercise program.The nurse then suggests that exercise activities can be incorporated into activities of daily living. The patient seems to be agreeable to that concept. Of the following activities, which would be considered a moderate-intensity activity? a. Doing laundry b. making the bed c. Ironing d. Folding fit out ANS D Low-intensity ADLs include doing the laundry, making the bed, ironing, and washing dishes. Moderate-intensity ADLs include sweeping the kitchen or sidewalk, washing windows, folding clothes, and vacuuming. DIF Evaluate REF 757 OBJEvaluate the nursing care plan for maintaining activity and exercise for patients across the life span and with specific chronic illnesses. TOP Evaluation MSC Teaching/ Learning MULTIPLE RESPONSE castanets perform five functions in the body support, protection, movement, mineral retentiveness, and hematopoiesis. In the discussion of body mechanics, whic h are the most important? (Select all that apply. ) 1. a. tolerate b. Protection c. Movement d. Mineral storage e. Hematopoiesis ANS A, C Bones perform five functions in the body support, protection, movement, mineral storage, and hematopoiesis.In the discussion of body mechanics, two of these functions support and movementare most important. In support, bones serve as the framework and contribute to the shape, alignment, and positioning of body parts. In movement, bones together with their joints urinate levers for muscle attachment. As muscles contract and shorten, they aspirate on bones, producing joint movement. Protection involves encasing the well-off tissue organs in a protective cage. Mineral storage helps to strengthen bones but also helps beat blood levels of certain nutrients. Hematopoiesis is the formation of blood cells. DIF RememberREF 747 OBJ Describe the role of the musculoskeletal and nervous systems in the regulation of movement. TOP Assessment MSC Teachi ng/Learning When assessing the activity tolerance of a patient, the nurse would evaluate which of the following? (Select all that apply. ) 2. a. Skeletal abnormalities b. Emotional factors c. advance d. Pregnancy status e. Race ANS A, B, C, D Factors influencing activity tolerance include physiological factors such as skeletal abnormalities, emotional factors such as concern/depression, developmental factors such as age and gender, and pregnancy status.Race is not a factor because people of all races are face with similar factors that affect their activity tolerance. DIF Apply REF 754 OBJ Assess patients for impaired mobility and activity intolerance. TOP Implementation MSC Teaching/Learning In developing a nursing care plan for change magnitude activity tolerance in a patient, the nurse should (Select all that apply. ) 3. a. Use generalized therapies because they work for everyone. b. Consult with members of the health care team. c.Avoid goals published by the Americ an College of Sports Medicine. d. Involve the patient and the patients family in designing an exercise plan. e. argue the patients ability to increase activity level. ANS B, D, E When planning care, the nurse should consult/collaborate with members of the health care team to increase activity, involve the patient and family in designing an activity and exercise plan (especially if family members are also providers of care), and consider the patients ability to increase activity level.Therapies should be individualized to the patients activity tolerance. schooling from the American College of Sports Medicine serves as a standard that the nurse should use when applying activity and exercise goals. DIF Apply REF 754 OBJ lay aside a nursing care plan for a patient with impaired mobility and activity intolerance. TOP Implementation MSC Teaching/Learning