NCCAP Physical Activities 2 — Questions and Answers
Question 1: Which principle guides safe physical activity programming for residents with osteoporosis?
- Encourage high-impact aerobics to build bone density
- Avoid weight-bearing exercises entirely
- Focus on balance, posture, and low-impact weight-bearing activities (Correct answer)
- Prioritize fast twitch muscle training
Correct answer: Focus on balance, posture, and low-impact weight-bearing activities
Low-impact weight-bearing and balance exercises help maintain bone density and reduce fall risk without stressing fragile bones.
Question 2: An activity professional wants to implement a chair yoga program. What is the primary benefit for long-term care residents?
- Improves cardiovascular endurance to marathon levels
- Provides flexibility, balance, and relaxation without requiring standing (Correct answer)
- Replaces the need for physical therapy
- Eliminates the need for assistive devices
Correct answer: Provides flexibility, balance, and relaxation without requiring standing
Chair yoga allows residents with limited mobility to safely gain flexibility, balance, and stress relief while seated.
Question 3: When leading a resistance band exercise class for seniors, which safety precaution is most critical?
- Use the heaviest resistance band available to maximize gains
- Inspect bands for tears or cracks before each use (Correct answer)
- Have residents hold their breath during exertion
- Encourage ballistic, fast-paced movements
Correct answer: Inspect bands for tears or cracks before each use
Worn or cracked resistance bands can snap during use, causing injury, so inspection before each session is essential.
Question 4: A resident with moderate dementia becomes agitated during a group exercise class. The best immediate response is to:
- Insist the resident complete the session for cognitive benefit
- Remove the resident from the group and offer a calming one-on-one alternative (Correct answer)
- Increase the exercise intensity to redirect focus
- Ignore the behavior and continue the class
Correct answer: Remove the resident from the group and offer a calming one-on-one alternative
Removing an agitated resident with dementia and offering a calm alternative protects their dignity and safety.
Question 5: The FITT principle in physical activity programming stands for:
- Frequency, Intensity, Time, and Type (Correct answer)
- Flexibility, Isometrics, Tone, and Training
- Frequency, Isometrics, Timing, and Technique
- Fitness, Intensity, Therapeutic, and Type
Correct answer: Frequency, Intensity, Time, and Type
FITT guides exercise prescription by addressing how often, how hard, how long, and what kind of activity is performed.
Question 6: Which of the following is the MOST important indicator that a physical activity program is appropriate for a specific resident?
- The resident is under age 80
- The activity matches the resident's functional ability and physician clearance (Correct answer)
- The program is offered in a group format
- The activity requires no adaptive equipment
Correct answer: The activity matches the resident's functional ability and physician clearance
Activities must be matched to individual functional capacity and medical clearance to ensure safety and therapeutic value.
Question 7: During a walking program, a resident suddenly complains of chest tightness and shortness of breath. The activity professional should:
- Encourage the resident to push through mild discomfort
- Have the resident sit down, stop activity, and call for nursing staff immediately (Correct answer)
- Offer water and continue the walk at a slower pace
- Document the complaint after the session ends
Correct answer: Have the resident sit down, stop activity, and call for nursing staff immediately
Chest tightness and dyspnea during exertion are potential cardiac symptoms requiring immediate medical response.
NCCAP Physical Activities 2
Which principle guides safe physical activity programming for residents with osteoporosis?