,1/23/25, 6:10 PM Updated Med/Surg Exam 1 NUR 242 Med/Surg Exam 1 2025|Actual Exam Set Questions And Verified Answers (Correct soluti…
Decreased nutrition and hydration
Decreased mobility
Stress and loss
Common health Issues
Accidents - falls most common/MVA
and Concerns older
Drug use and misuse
adults
Mental health/cognition problems (including
substance abuse)
Elder neglect and abuse
Under nutrition
GFTT ( Geriatric Failure To
Impaired mobility
Thrive) Complex
Depression
Syndrome
Cognitive impairment
Most common mental health/behavioral health
problem among older adults.
Use Geriatric Depression Scale form
Depression older adults Mood disorder having cognitive, affective, physical
manifestations
Primary (lack of neurotransmitters)
Secondary or situational
slowly progresses
generally chronic
intellectual impairment
Dementia older adults
Most common Alzheimer's
Multi-infarct dementia, the second most common
resulting from a vascular disorder
Acute and fluctuating onset
results from an unfamiliar place
Delirium older adults
Symptoms - inattentiveness, disorganized thinking,
and altered level of consciousness
, 1/23/25, 6:10 PM Updated Med/Surg Exam 1 NUR 242 Med/Surg Exam 1 2025|Actual Exam Set Questions And Verified Answers (Correct soluti…
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
Nurse's role in Rehab
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
-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
Safe Patient Handing and patients
Mobility (SPHM) - 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
- Apply a transfer belt around patients waist
walker - assisted and
- guide patient to a standing position
cane - assisted
- remind patient to place both hands on the walker
procedure
- ensure that the patient's body is well balanced
- lift the walker
- move the walker about 2 feet forward and set it
down on all legs
walker teaching
-while resting on the walker, take small steps
- check balance
- repeat sequence
- 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
cane teaching - 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
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