NUR 242 Med/Surg Exam 1 – Complete Study Guide With Practice Questions & Detailed Answers
Four Major subgroups of Late Adulthood - (answer)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 - (answer)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 - (answer)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)
,NUR 242 Med/Surg Exam 1 – Complete Study Guide With Practice Questions & Detailed Answers
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - (answer)Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - (answer)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 - (answer)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 - (answer)Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
Nurse's role in Rehab - (answer)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
, NUR 242 Med/Surg Exam 1 – Complete Study Guide With Practice Questions & Detailed Answers
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) - (answer)-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
walker - assisted and cane - assisted procedure - (answer)- Apply a transfer belt around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - (answer)- lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
cane teaching - (answer)- be sure cane is at the height of the patients wrist when the arm is placed at his
or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Four Major subgroups of Late Adulthood - (answer)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 - (answer)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 - (answer)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)
,NUR 242 Med/Surg Exam 1 – Complete Study Guide With Practice Questions & Detailed Answers
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - (answer)Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - (answer)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 - (answer)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 - (answer)Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
Nurse's role in Rehab - (answer)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
, NUR 242 Med/Surg Exam 1 – Complete Study Guide With Practice Questions & Detailed Answers
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) - (answer)-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
walker - assisted and cane - assisted procedure - (answer)- Apply a transfer belt around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - (answer)- lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
cane teaching - (answer)- be sure cane is at the height of the patients wrist when the arm is placed at his
or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
