NUR242 / NUR 242 Exam 1 Study Guide
Medical-Surgical Nursing Concepts
2026\2027 update
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 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
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 Use Braden
scale - skin break down risk
9. Safe Patient Handing and Mobility (SPHM):
- Maintain a wide, stable base with your feet
- Put the bed at the correct height- waist level while providingdirect 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
Medical-Surgical Nursing Concepts
2026\2027 update
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 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
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 Use Braden
scale - skin break down risk
9. Safe Patient Handing and Mobility (SPHM):
- Maintain a wide, stable base with your feet
- Put the bed at the correct height- waist level while providingdirect 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
