NCLEX · Lifestyle Choices and Self-Care

A client asks how much moderate-intensity physical activity adults should get per week to maintain health. What is the current recommendation?

  1. A 10 minutes per week
  2. B At least 150 minutes (2.5 hours) of moderate-intensity aerobic activity per week, plus muscle-strengthening activities on 2 or more days per week
  3. C No formal recommendation exists
  4. D 1 hour per year

Why this is the answer

The U.S. Department of Health and Human Services PHYSICAL ACTIVITY GUIDELINES FOR AMERICANS (2nd edition) recommends for adults: AEROBIC ACTIVITY: at least 150-300 minutes per week of moderate-intensity activity (like brisk walking, casual biking, water aerobics) OR 75-150 minutes per week of vigorous-intensity activity (like running, swimming laps, aerobic dance) OR an equivalent combination. Additional health benefits occur with more than 300 minutes. MUSCLE-STRENGTHENING: activities of moderate or greater intensity involving all major muscle groups, 2 or more days per week (resistance training, body-weight exercises, heavy gardening). SITTING LESS: any physical activity, even just reducing sitting time, has health benefits. CHILDREN (6-17): 60 minutes or more of moderate-to-vigorous activity per day; include vigorous intensity and muscle/bone-strengthening activities on at least 3 days/week. OLDER ADULTS: same recommendations as adults + add balance activities to prevent falls; 'some is better than none' is emphasized. HEALTH BENEFITS OF REGULAR PHYSICAL ACTIVITY: reduced risk of heart disease, stroke, type 2 diabetes, some cancers; weight management; improved bone and muscle health; improved mental health (reduces depression, anxiety); improved sleep; reduced risk of falls in older adults. NURSING ROLE: assess current activity levels; provide individualized guidance; help identify realistic ways to increase activity; reinforce that ANY activity is better than none — even breaking up long sitting periods with short walks; connect to community resources (walking programs, gym, senior center fitness).
Source: NCLEX-PN Test Plan: Health Promotion — Lifestyle Choices