Deck 22: Mental Health

Question 1

Alcohol diminishes the effects of what type(s)of medications?

A) Oral hypoglycemic
B) Anticoagulant
C) Anticonvulsants
D) Tricyclic antidepressants

Answer 1

Oral hypoglycemic
Anticoagulant
Anticonvulsants

Question 2

To help older adults maintain a healthy mental state,the nurse plans activities at a community center to promote the developmental stages of older adulthood.Which nursing intervention is suitable for the nurse's plan?

A) Screen for communicable diseases common among older adults.
B) Participate at a soup kitchen for other people who are homeless.
C) Plan a safety program about falls, fire safety, and home security.
D) Have speakers emphasize the need for isolated self-exploration.

Answer 2

Participate at a soup kitchen for other people who are homeless.

Question 3

The nurse prepares to discharge an older man who has heart failure and is in stable condition,when his wife states that she will avoid sexual activities with him because of his heart disease.Which of the following factors should the nurse use in patient teaching about sexual activity for an older adult with heart failure?

A) An older adult with heart failure should avoid sexual relations because of the demand it places on the heart.
B) Sexual relations and climbing six flights of stairs expend the same amount of energy.
C) Fear and lack of knowledge can cause older people to reduce their sexual activity unnecessarily.
D) Sexuality is a private matter between the older man and his wife.

Answer 3

Fear and lack of knowledge can cause older people to reduce their sexual activity unnecessarily.

Question 4

Which of the following is a true statement concerning suicide among older adults?

A) Older adults and younger adults manifest a suicidal intent in a similar manner.
B) Older African-American women have the highest risk of suicide among older adults.
C) Ethics require that the nurse respects a person's intent to terminate his or her own life.
D) A major crisis experienced by the patient can contribute to the risk of suicide.

Question 5

Which assessment finding of an older adult living in an assisted-living facility indicates the highest risk for suicide?

A) Liver failure is due to alcohol abuse; older adult is popular at meals.
B) Older adult declines company; is preoccupied with lethal weapons.
C) Refuses to allow a large, extended family to help him.
D) Older adult had an overdose of acetaminophen 20 years ago; is in a sewing group.

Question 6

Which of the following statements is true about the mental health of older adults?

A) Nurses should discourage denial and regression so older adults can directly face underlying causes of anxiety.
B) Anxiety is easily distinguished from depression, dementia, and the effects of disease or medication.
C) Compulsive rituals surrounding toileting and sleep are signs of a serious mental disorder.
D) The nurse avoids antianxiety medications without an assessment for factors associated with anxiety.

Question 7

An older woman fell at home while trying to get to the bathroom in time to prevent urinary leakage.Rank the following suitable nursing interventions in order according to the ability of each intervention to prevent patient injury at home in the future.Start with the intervention that is most likely to prevent injury in the home.

A)Discharge to home while attending an alcohol prevention program.
B)Perform home safety inspection to identify modifiable safety hazards.
C)Instruct the older woman on pelvic floor exercises and other incontinence strategies.
D)Explore depression,alcohol abuse,and physiological contributors to falls.
E)None of the above

Question 8

You are evaluating the plan of care for an older adult who is alcohol-dependent.Which patient documentation indicates the need for follow-up nursing interventions by the nurse?

A) Patient states that he intends to decrease his alcohol consumption.
B) Patient arrives at his group session on time and well-groomed.
C) Patient states, "I am an alcoholic because I drink 10 beers a day."
D) Patient states that he understands that he needs continued treatment.

Question 9

An older man who had radical surgery for oral cancer is refusing to see visitors and is losing weight,despite aggressive nutrition therapy.The nurse assesses this man for ineffective coping,related to dysfunctional grieving.Which of the following patient outcomes of nursing care is the most important to implement in response to his mental health status?

A) Is able to discuss how his coping mechanisms are overwhelmed.
B) Performs daily self-feedings through a gastrostomy tube.
C) Effectively uses nonverbal forms of communication.
D) Exhibits self-confidence in regaining a sense of control.

Question 10

An older female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member.Which ideas should the nurse include in the response to this individual?

A) The staff receives training in ethics.
B) Validate the woman's impression.
C) Avoid suspicious, paranoid thinking.
D) Use the call bell if she becomes frightened.

Question 11

Although the older man who was forced to retire from law enforcement has multiple physical complaints,the primary care health care provider finds nothing abnormal.After the man tells the nurse that his girlfriend just left him,which of the following is the priority nursing intervention to complete before the older adult leaves?

A) Ask him how he plans to cope with his loss.
B) Use direct questions about access to firearms.
C) Collaborate with his provider for antidepressants.
D) Allow him to express himself by intently listening.

Question 12

An older woman recently lost her brother,provides care for her husband who has health needs,and must move to a new location after 35 years in the same home.When she comes to the primary care facility with clinical indicators of influenza,the nurse recognizes which of the following?

A) She is exhibiting attention-seeking behaviors.
B) Crises and stressors can impair physical health.
C) Her greatest need is respite care for her husband.
D) Crisis leads to a lower functional status for the victim.

Question 13

Which of the following is(are)true statement(s)about depression or depression therapy?

A) An older adult who lived through the depression is unlikely to develop depression.
B) Complaining and not complaining can be symptomatic of depression.
C) Serotonin-reuptake inhibitors are used to resolve depression in 2 weeks.
D) The nurse should avoid trying to bolster a depressed person's mood.

Question 14

Which of the following is a true statement about psychotic behavior in older adults?

A) Usually, hallucinations in older patients are the result of psychological conflicts.
B) Illusion, delusion, and hallucination are different terms for the same phenomenon.
C) An older adult with psychotic behavior should be assessed for a variety of causes.
D) Regardless of the cause, dissimilar hallucinations are treated with similar therapies.

Question 15

When planning care for a patient that has a history of alcohol abuse,the nurse recognizes which of the following medication(s)will interact with alcohol?

A) Analgesics
B) Antibiotics
C) Antidepressants
D) Antipyretics

Question 16

Which factors interfere with the mental health of older adults because of the effect on adaptation?

A) Culture
B) Life events
C) Physical illness
D) Substance abuse
E) Cognitive impairment
F)Developmental transitions

Question 17

An older woman with dementia exhibits new behaviors including crying and repeatedly verbalizing the same phrase; further,the behavior has increased over 2 days.Which intervention should the nurse implement in response to this behavior?

A) Tell her you will remember what she says if she stops crying.
B) Attribute these findings to a deterioration in cognitive function.
C) Check the medication administration record for missed doses.
D) Present probing questions to the patient about her behavior.

Question 18

An older man,who has activity intolerance as a result pulmonary fibrosis,barks orders and commands at the nursing staff when he cannot help himself.Which of the following is the nurse's first priority patient outcome for planning care to resolve this problem?

A) Verbalizes requests in a calm, respectful, and appreciative manner.
B) Identifies potential triggers of anger, and positively redirects energy.
C) Expresses an understanding of the need to balance rest and exercise.
D) Resolves the pulmonary fibrosis to restore baseline activity tolerance.

Question 19

An older adult who has Alzheimer disease exhibits new behaviors including shouting in the hallways and hallucinations.Rank the following nursing interventions in order,beginning with the first intervention the nurse should implement in response to the new behavior.

A)Review the medication list for potential causes.
B)Plan nursing care to promote a trusting relationship.
C)Look for the likely causes for psychotic manifestations.
D)Consult with her health care provider about medications.
E)None of the above

Question 20

Which older adult is most likely to have normal mental health?

A) The older adult who grieves over the loss of a spouse for 2 years but is traveling again
B) The older adult who exhibits long periods of depression with occasional manic episodes
C) The older adult who has lost two friends in a war, has had three failed marriages, and is bankrupt
D) The older adult who has been treated for chronic depression and whose brother killed himself 1 year ago