Galen NUR 242 Exam 1 Med-Surg Tested
(Latest ) Questions with Revised Answers
1. Four Major subgroups of Late Adulthood: 65 - 74 young old 75 -
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84 middle old
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85 - 99 old old
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100 and older elite old
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2. Lifestyle and Practice to PromoteWellness older adults:Yearly flu vaccine pneumococc
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al vaccine
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Shingles vaccine f
tetanus and booster every 10 years wear seat f f f f f f f f
belts
alcoholinmoderation av f f f
oid smoking smoke dete
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ctors
prevent falls - f f
waxed floors and scattered rugs medications as prescribed
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avoid OTC medications unless primary care phyisican directs Yearly physicial
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regularexercise socializ f f
ation reminisce f
3. Common health Issues and Concerns older adults: Decreased nutrition and hydration f f f f f f f f f f
Decreasedmobility Stre f f
ss and loss
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Accidents - f
fallsmostcommon/MVA Drug use and misus
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e
Mental health/cognition problems (including substance abuse) Elder neglect
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and abuse f
4. GFTT ( Geriatric FailureToThrive) Complex Syndrome: Under nutrition Impaired mobi
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lity
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,Depression Cognitivei f f
mpairment
5. Depression older adults: Most common mental health/behavioral health prob-
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lem among older adults.
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Use Geriatric Depression Scale form
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Mood disorder having cognitive, affective, physical manifestations Primary (la
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ck of neurotransmitters)
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Secondary or situationalf f
6. Dementia older adults:slowly progresses gener
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ally chronic
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, intellectual impairment Most f f f
commonAlzheimer's f
Multi-infarct dementia, the second most common resulting from a vascular disorder f f f f f f f f f f
7. Delirium older adults: Acute and fluctuating onset results f f f f f f f f f
rom an unfamiliar place
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Symptoms - inattentiveness, disorganized thinking, and altered level of conscious- ness
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8. Nurse's role in Rehab:Advocate for the patient and family Create the f f f f f f f f f f f
rapeutic rehab milieu f f
provide whole person patient-centered care f f f f
Collaborate with healthcare team for patient outcome and develop care plan Communicate wit f f f f f f f f f f f f
ffectively with all members of the health care team, patient and family
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Evaluate effe ctivene f
ss of plan of care for the patient and family Use Braden scale - f f f f f f f f f f f f f
skin break down risk
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9. Safe Patient Handing and Mobility (SPHM): -Maintain a wide, stable base with your feet
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-Put the bed at the correct height -
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waist level while providing direct care and hip level when moving patients
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- Keep the patient or work directly in front of you to prevent your spine from rotating
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- Keep the patient as close to your body as possible to prevent reaching
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10. walker - assisted and cane - assisted procedure: - f f f f f f f f
Apply a transfer belt around patients waist
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- guide patient to a standing position f f f f f
- remind patient to place both hands on the walker f f f f f f f f
- ensure that the patient's body is well balanced f f f f f f f
11. walker teaching: - lift the walker f f f f f
- move the walker about 2 feet forward and set it down on all legs
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-while resting on the walker, take small steps
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- check balance f
- repeat sequence f
12. cane teaching: - f f
be surecaneis attheheightof the patients wristwhenthe arm is placed at his or her side
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3f/f25
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