An elderly client comes to the clinic for follow-up after a long hospitalization. When the client asks about increasing strength and endurance, what should the nurse respond?
1. "Your muscles can be strengthened, which might help you function better."
2. "It won't matter if you exercise. At your age, there's little room for improvement."
3. "Once muscle mass is decreased, there's nothing that can be done for strength improvement."
4. "Maybe you should think about going to a nursing home. At least the people there will be able to help with your needs."
Correct Answer: 1
Rationale 1: There is evidence that an older adult's muscles can be strengthened through exercise and training, with concomitant improvements in functional status.
Rationale 2: It would be inappropriate for the nurse to assume that there is no room for improvement.
Rationale 3: Physical changes associated with the aging process are normal, but not something that can't be improved upon.
Rationale 4: There is evidence that an older adult's muscles can be strengthened through exercise and training, with concomitant improvements in functional status. It would be inappropriate for the nurse to suggest that the client is a suitable candidate for long-term care.
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