Certified Medical-Surgical Registered Nurse Practice Exam

For a 68-year-old male with mild COPD who remains sedentary, what is the most appropriate nursing diagnosis?

1. Ineffective health maintenance.

2. Impaired physical mobility.

3. Risk for disuse syndrome.

4. Activity intolerance.

The correct answer is: Risk for disuse syndrome.

The most appropriate nursing diagnosis for a 68-year-old male with mild COPD who remains sedentary is the risk for disuse syndrome. This diagnosis is suitable because individuals who are sedentary, especially those with a condition like COPD, are at a higher risk for developing complications from inactivity. Disuse syndrome refers to the physical and psychological deterioration that can occur due to a lack of activity and exercise, leading to muscle weakness, joint stiffness, and decreased endurance. In the case of this patient, the combination of his age, respiratory condition, and current lifestyle choices contributes to his increased risk for developing such complications. Addressing this risk through interventions that encourage gradual physical activity can be crucial in preventing the negative effects associated with disuse syndrome and improving overall health outcomes.