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NURS 242 MED SURG EXAM NEWEST VERSION -2025/2026-
100+ Q AND ANS MOST POPULAR EXAM GUARANTEED
SUCCESS
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
GFTT ( Geriatric Failure To Thrive) Complex Syndrome
Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults
Most common mental health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
, 2
Primary (lack of neurotransmitters)
Secondary or situational
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
Delirium older adults
Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of
consciousness
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 effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM)
, 3
-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
- 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
- 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
- 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
NURS 242 MED SURG EXAM NEWEST VERSION -2025/2026-
100+ Q AND ANS MOST POPULAR EXAM GUARANTEED
SUCCESS
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
GFTT ( Geriatric Failure To Thrive) Complex Syndrome
Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults
Most common mental health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
, 2
Primary (lack of neurotransmitters)
Secondary or situational
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
Delirium older adults
Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of
consciousness
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 effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM)
, 3
-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
- 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
- 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
- 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
