Deck 22: Challenges to Mental Wellness

Question 1

According to Carstensen, older adults are among the most stable and mentally healthy of all age groups despite discomforting ailments, personal loss, retirement, changes in living situations, and limited finances. This has been called:

A) paradox of aging.
B) baby boomer paradox.
C) paradox of well-being.
D) mental health paradox.

Answer 1

paradox of well-being.

Question 2

Erik Erikson was one of the first developmental psychologists to extend the study of adult development into adulthood and old age. Erikson proposed this as the chief challenge faced by older adults:

A) shame and doubt
B) role confusion
C) stagnation
D) despair

Answer 2

despair

Question 3

This author discusses the importance of adult developmental tasks and mature and adaptive coping styles essential to aging well:

A) Erik Erickson
B) George Vaillant
C) Shaie and Willis
D) Butler and Blazer

Answer 3

George Vaillant

Question 4

This term is used to describe the natural response to losing someone important:

A) bereavement
B) mourning
C) grief
D) sadness

Question 5

Your patient, who recently lost her husband, is reported by her daughter to be alternately sobbing and screaming in anger at her deceased spouse. You recognize that the patient is exhibiting signs of which stage of Rando's three-tier process?

A) reengagement
B) avoidance
C) reestablishment
D) confrontation

Question 6

Medications used for treating agitation in dementia that are not approved by the Food and Drug Administration (FDA) are known as:

A) "off label."
B) "in secret."
C) "not endorsed."
D) "silently backed."

Question 7

This global disorder is characterized by acute onset, disturbed consciousness, impaired cognition, acute confusion, fluctuating levels of consciousness, and an identifiable underlying medical cause:

A) dementia
B) delirium
C) impaired functional status
D) bipolar disorder

Question 8

The CAGE questionnaire, FRAMES model, and SMAST-G are recommended for use among older adults to screen for:

A) dementia.
B) drug abuse.
C) alcoholism.
D) depression.

Question 9

A person suffering from this may experience flashbacks, nightmares, or hyperarousal:

A) dementia
B) posttraumatic stress disorder (PTSD)
C) delirium
D) impaired functional status

Question 10

The BATHE tool is used to:

A) diagnose mental illness.
B) assess if a patient has posttraumatic stress disorder.
C) enhance communication about psychosocial issues.
D) diagnose adults with comorbid health and mental health conditions.

Question 11

According to the Administration on Aging, mental illness rates in older adults range from:

A)15% to 20%.
B)15% to 25%.
C)10% to 15%.
D)10% to 20%.

Question 12

This is the most prevalent substance abuse issue among older adults:

A) tobacco
B) over the counter medication
C) pain medication
D) alcohol