NUR242 / NUR 242 Exam 1 Galen
Study Notes + Study Guide Questions
Medical-Surgical Nursing Concepts
Table of Contents
NUR 242 Exam 1 Study Notes………………………………… 01
NUR 242 Exam 1 Study Guide Questions……………………30
Study Notes
1. Four Major subgroups of Late Adulthood: 65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
2. Lifestyle and Practice to Promote Wellness older adults: Yearly flu
vaccine pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years
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15
,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
3. Common health Issues and Concerns older adults: 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
4. GFTT ( Geriatric Failure To Thrive) Complex Syndrome: Under
nutrition Impaired mobility
Depression
Cognitive impairment
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15
, 5. Depression older adults: Most common mental health/behavioral health prob-
lem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
6. Dementia older adults: slowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
7. Delirium older adults: Acute and fluctuating
onset results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of conscious-
ness
8. Nurse's role in Rehab: 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 effe ctivene ss of plan of care for the patient and family
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