(GALEN)NUR 242 Med/Surg Exam 1questions and
answers 2025-2026 update
Four Major subgroups of Late Adulthood - ✔✔ANS 65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - ✔✔ANS Yearly flu vaccine
pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial
regular exercise
socialization
reminisce
Common health Issues and Concerns older adults - ✔✔ANS Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
, Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - ✔✔ANS Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - ✔✔ANS Most common mental health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - ✔✔ANS slowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
Delirium older adults - ✔✔ANS Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
Nurse's role in Rehab - ✔✔ANS Advocate for the patient and family
Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team, patient and family
Evaluate effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM) - ✔✔ANS -Maintain a wide, stable base with your feet
-Put the bed at the correct height - waist level while providing direct care and hip level when moving patients
- Keep the patient or work directly in front of you to prevent your spine from rotating
- Keep the patient as close to your body as possible to prevent reaching
answers 2025-2026 update
Four Major subgroups of Late Adulthood - ✔✔ANS 65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - ✔✔ANS Yearly flu vaccine
pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial
regular exercise
socialization
reminisce
Common health Issues and Concerns older adults - ✔✔ANS Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
, Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - ✔✔ANS Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - ✔✔ANS Most common mental health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - ✔✔ANS slowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
Delirium older adults - ✔✔ANS Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
Nurse's role in Rehab - ✔✔ANS Advocate for the patient and family
Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team, patient and family
Evaluate effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM) - ✔✔ANS -Maintain a wide, stable base with your feet
-Put the bed at the correct height - waist level while providing direct care and hip level when moving patients
- Keep the patient or work directly in front of you to prevent your spine from rotating
- Keep the patient as close to your body as possible to prevent reaching
