Exam 25: Emotional Health in Late Life

The most prevalent mental health disorder in older adults is:

An 88-year-old resident of a nursing home reports to the nurse that there was a problem during the night and that someone entered her room and stood by the window watching her.She expresses fear of going to sleep.What action is most appropriate for the nurse to take initially?

The following are true statements about bipolar disorders in older adults except:

A 77-year-old woman recently moved to an assisted living facility.She expresses concern that her apartment is not close to the emergency exit stairs and that she could not get out in the event of an emergency.During a routine fire drill,she becomes very agitated and pushes another resident over as she quickly runs to the exit stairs.She was recently discharged from the hospital after an admission for smoke inhalation after a fire destroyed her home.What would be least helpful for her?

Electroconvulsive therapy (ECT)in older adults:

The goals of treatment for a depressed elderly client include the following except:

You are assigned to the care of an 80-year-old schizophrenic client who has been admitted to your acute care facility.As you develop a plan of care for this client,you are taking into consideration what reality about being an older adult with schizophrenia?

Your older adult client has admitted himself for treatment of alcohol dependency.In implementing care,you draw upon your knowledge about alcohol and aging that:

A 77-year-old man is brought to the emergency department after falling and sustaining a laceration on his forehead that required suturing.He has an elevated blood alcohol level and says to the nurse,"I don't know why I can't handle booze like I used to when I was younger.I only had two beers; I used to have five when I was young." The nurse knows that:

An 88-year-old woman is seen in the geriatric clinic for a routine physical examination.She reports being more tired,eating less,and having less desire to participate in activities,all of which she attributes to aging.The gerontological clinical nurse specialist suspects that she is depressed and asks her to complete the Geriatric Depression Scale.The woman becomes visibly upset and states,"What,you think I am crazy? Shame on you." Her response is:

Your elderly client is being discharged to a nursing home.In the past she has lived independently and is now expressing displeasure at her inability to be discharged home.What intervention would best serve to help her avoid experiencing an adjustment disorder?

One goal of reminiscence is to:

Your elderly neighbor has played the piano at the local nursing home for 15 years.This past year her volunteerism has dropped off.She complains about the "old senile folks" there.In listening to her complaints about the facility,you understand that she is exhibiting signs of:

The highest suicide rate in the elderly population in the United States is in which of the following groups?

Your elderly client has just suffered a myocardial infarction.Upon discharge,he says to you,"I watched all those heart videos and stuff,but I still insist it was just indigestion." In formulating a response,you recognize that he is showing signs of: