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INSTRUCTIONS An NP's guide to current physical activity recommendations

TEST INSTRUCTIONS

 

* Read the article. The test for this CE activity is to be taken online at http://www.nursingcenter.com/CE/NP. Tests can no longer be mailed or faxed.

 

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An NP's guide to current physical activity recommendations

 

General Purpose: To provide information on current physical activity recommendations that include evidence-based guidance for various age-related patient populations, beneficial health implications, sedentary lifestyle risks, and patient education. Learning Objectives: After completing this continuing-education activity, you should be able to: 1. Identify benefits of physical activity and sedentary lifestyle risks found in a review of current literature. 2. Describe evidence-based physical activity recommendations for various age-related patient populations and patient education strategies.

 

1. Which of the following is both an acute and long-term benefit of physical activity?

 

a. improved bone health

 

b. reduced risk of dementia

 

c. reduced risk of anxiety

 

2. A single exercise session can

 

a. cause insomnia.

 

b. increase anxiety.

 

c. reduce blood glucose.

 

3. One systemic review found that physical activity can reduce risk of and improve the survival rate in patients who have

 

a. leukemia.

 

b. breast cancer.

 

c. thyroid cancer.

 

4. Literature findings on adherence to physical activity guidelines revealed that physical activity recommendations were

 

a. not being met by the majority of adults.

 

b. met at higher rates for women than men.

 

c. met by at least half of adults.

 

5. A hypocaloric diet without exercise is likely to slow metabolism significantly because besides losing fat, individuals also lose

 

a. skin.

 

b. bone.

 

c. muscle.

 

6. A comparison between adults who are sedentary and of normal weight with adults who are aerobically fit and overweight or obese showed that mortality risk was

 

a. lower for the aerobically fit and overweight or obese adults.

 

b. higher for the aerobically fit and overweight or obese adults.

 

c. equivalent for both groups.

 

7. Regular physical activity in children helps to establish healthier homeostatic ranges for

 

a. hormone levels.

 

b. hematologic parameters.

 

c. key metabolic markers.

 

8. The clinician explains the recommended physical activity guidelines to the parent of a 4-year-old male child, and suggests that the child engage in activities such as

 

a. riding a bike.

 

b. assembling puzzles.

 

c. lifting small weights indoors.

 

9. A 9-year-old female child is having her annual well-visit. The clinician discusses age-appropriate recommendations for physical activity such as

 

a. performing low-intensity aerobic activity at least once weekly.

 

b. incorporating some vigorous-intensity aerobic activity 3 days per week.

 

c. engaging in 30 minutes of moderate-to-vigorous physical activity each day.

 

10. A 45-year-old male states that he wants to improve his health benefits from exercise. The clinician recommends moderate-intensity aerobic activity each week for a minimum of

 

a. 25 minutes.

 

b. 75 minutes.

 

c. 150 minutes.

 

11. A 35-year-old female asks about strength training. The clinician explains that she should participate in muscle-strengthening activities

 

a. at least 2 days per week.

 

b. no more than 3 days per week.

 

c. a minimum of 4 days per week.

 

12. DiPietro et al. found that a 15-minute walk following a high-carbohydrate meal improved glycemic control for the next

 

a. 6 hours.

 

b. 15 hours.

 

c. 24 hours.

 

13. Wilburn et al. demonstrated that participating in resistance training 15 hours before eating a high-fat meal can reduce postprandial levels of

 

a. lipids.

 

b. sodium.

 

c. glucose.

 

14. Qiu et al. found that adults with T2DM who set a specific step goal had

 

a. more physical activity throughout each day.

 

b. less physical activity per day due to stopping at the step goal.

 

c. about the same amount of physical activity throughout each day as those who did not have a specific step goal.

 

15. A clinician advises an 83-year-old male that besides the recommended volume of exercise for older adults, exercise programming should also focus on

 

a. avoiding depression.

 

b. maintaining independence.

 

c. increasing social interaction.

 

16. For patients with joint pain, the clinician should recommend performing physical activities such as

 

a. rowing.

 

b. running.

 

c. swimming.

 

17. Matthews et al. found that extended periods of sitting increase the risk of all-cause and CVD mortality in older adults, and this is thought to be a result of

 

a. arterial flaccidity.

 

b. overall adiposity.

 

c. metabolic inflexibility.

 

18. Ekelund et al. observed that men and women with the highest mortality risk had the longest sitting time and

 

a. minimal levels of physical activity.

 

b. moderate levels of physical activity.

 

c. vigorous high levels of physical activity.

 

19. A study of Mississippi school children found that those who engaged in higher levels of physical fitness had higher standardized test scores in language arts and

 

a. math.

 

b. science.

 

c. social studies.

 

20. A Cochrane review found that using a sit-stand desk decreases sitting time per workday by an average of

 

a. 60 minutes.

 

b. 75 minutes.

 

c. 100 minutes.