Which of the following is important to include in the initial assessment for elders who are frail and are beginning an exercise program?

a. Exercise tolerance testing (ETT)
b. Financial ability to pay for training sessions
c. Medical history and physical examination
d. Pulmonary function tests (PFTs)


C

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A Incorrect. Fitness tests such as the ETT are warranted in elders who are begin-ning a moderately intense or vigorous exercise program. The ETT is not rec-ommended for the frail older adult.
B Incorrect. Expensive training programs are not usually needed.
C Correct. Any aspect of the client's current and past physical and psychological condition can be important in designing the exercise program to suit the client.
D Incorrect. Although aerobic capability must be carefully observed, the PFT, specifically, is not necessary unless pulmonary function is a parameter that the therapeutic program is targeting for improvement.

Nursing

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