Question: Which statements most clearly indicate that the speaker views mental illness with stigma? (Select all that apply.) a. “Everyone is a little bit crazy.” b. “If people with mental illness would go to church, their problems would be solved with faith.” c. “Many mental illnesses are genetically transmitted. It is no one’s fault that the illness occurs.” d. “Anyone can have a mental illness. War or natural disasters can be too stressful for healthy people.” e. “People with mental illness are lazy. They expect the government to take care of everything they need.” Correct Answer a. “Everyone is a little bit crazy.” b. “If people with mental illness would go to church, their problems would be solved with faith.” e. “People with mental illness are lazy. They expect the government to take care of everything they need.”
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Answer: Not provided in source.
Question: A student nurse visiting a senior center tells the instructor, “It’s so depressing to see all these old people. They are so weak and frail. They are probably all confused.” The student is expressing what attitude? a. Reality b. Ageism c. Empathy d. Distrust Correct Answer b. Ageism
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Answer: Not provided in source.
Question: A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. What topic is of high priority? a. Identifying depression in older adults b. Providing cost-effective foot care for older adults c. Identifying nutritional deficiencies in older adults d. Psychosocial stimulation for those who live alone Correct Answer a. Identifying depression in older adults
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Answer: Not provided in source.
Question: Which is the best statement for a nurse to use when beginning an interview with an older adult patient? a. “Hello, [call patient by first name]. I am going to ask you some questions to get to know you better.” b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would like to be addressed by the staff.” c. “I am going to ask you some questions about yourself. I would like to call you by your first name if you don’t mind.” d. “You look as though you are comfortable and ready to participate in an admission interview. Shall we get started?” Correct Answer b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would like to be addressed by the staff.”
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Answer: Not provided in source.
Question: A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, what should the nurse address? a. Initiate a neurological assessment. b. Assess if the patient can hear the spoken word clearly. c. Suggest that the patient lie down in a darkened room to rest. d. Administer medication to relieve the patient’s pain prior to the assessment. Correct Answer b. Assess if the patient can hear the spoken word clearly.
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Answer: Not provided in source.
Question: A nurse asks the following questions while assessing an older adult. The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers “yes” to which question? a. “Would you say your mood is often sad?” b. “Are you having any trouble with your memory?” c. “Have you noticed an increase in your alcohol use?” d. “Do you often experience moderate-to-severe pain?” Correct Answer a. “Would you say your mood is often sad?”
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Answer: Not provided in source.
Question: A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, “My family visited during the night. They stood by the bed and talked to me.” In reality, the patient’s family lives 200 miles away. The nurse should first suspect what as the trigger for the resident’s experience? a. Side effects associated with medications. b. Early Alzheimer’s disease associated with advanced age. c. A transient ischemic attack and developed sensory perceptual alterations. d. Previously unidentified alcohol abuse and is beginning alcohol withdrawal delirium. Correct Answer a. Side effects associated with medications.
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Answer: Not provided in source.
Question: A health care provider writes these new prescriptions for a resident in a skilled care facility: egg custodian diet; restraint as needed; limit fluids to 200 mL daily; 1 dose of milk of magnesia 30 mL orally if no bowel movement occurs for 3 days.” Which prescription should the nurse question? a. Restraint b. Fluid restriction c. Milk of magnesia d. Sodium restriction Correct Answer a. Restraint
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Answer: Not provided in source.
Question: If an older adult patient must be physically restrained, who is responsible for the patient’s safety? a. Nurse assigned to care for the patient. b. Nursing assistant who applies the restraint. c. Health care provider who ordered the restraint. d. Family member who agrees to the application of the restraint. Correct Answer a. Nurse assigned to care for the patient.
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Answer: Not provided in source.
Question: When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider? A. The patient with dementia is persistently angry and hostile. B. Early morning agitation and hyperactivity occur in dementia. C. Confusion seems to worsen at night when dementia is present. D. A patient who is depressed is preoccupied with somatic symptoms.
Answer Choices: Not provided.
Answer: C
Question: An 80-year-old patient with depression reacts with aggression and pessimism to the staff. Every day is a struggle. No one cares about old people. Which is the nurse’s most therapeutic response? A. “Everyone here cares about old people. That’s why we work here.” B. “It sounds like you’re having a difficult time. Tell me about it.” C. “Let’s not focus on the negative. Tell me something good.” D. “You are still able to get around, and your mind is alert.”
Answer Choices: Not provided.
Answer: B
Question: A 74-year-old patient is regressed and apathetic. This patient responds to others only when they initiate the interaction. Which therapy would be most useful to promote resocialization? A. Medication B. Re-motivation C. Group psychotherapy D. Individual psychotherapy
Answer Choices: Not provided.
Answer: B
Question: A clinic nurse interviews four patients between 70 and 80 years of age. Which patient should have further assessment regarding the risk of alcohol addiction? A. One with a history of intermittent problems of alcohol misuse early in life and who now consumes one glass of wine nightly with dinner. B. One with no history of alcohol-related problems until age 65 years, when the patient began to drink alcohol daily “to keep my mind off my arthritis.” C. One who drank socially throughout adult life and continues this pattern, saying, “I’ve earned the right to do as I please.” D. One who abused alcohol between the ages of 25 and 40 years but now abstains and occasionally attends Alcoholics Anonymous.
Answer Choices: Not provided.
Answer: B
Question: A clinic nurse is assessing a patient who is suspected of having an undiagnosed depressive disorder. Nursing assessment should include collection of information regarding what focus? A. Use of other prescribed medications and over-the-counter products B. Evidence of pseudoparkinsonism or tardive dyskinesia C. A history of psoriasis and any other skin disorders D. A current immunization status
Answer Choices: Not provided.
Answer: A
Question: An older adult with a history of major depressive disorder has taken an antidepressant daily for 3 years. The patient tells the nurse, “I want to stop taking this medication. I don’t think I need it anymore.” What is the nurse’s best response to assure safety the patient’s safety? A. “Why do you think you don’t need this medication anymore?” B. “Have you talked with your family members about this decision?” C. “If you stop the medication, your depression will return worse than ever.”
Answer Choices: Not provided.
Answer: A
Question: When admitting older adult patients, health care agencies receiving federal funds must provide written information about what topic? A. Advance health care directives B. The financial status of the institution C. How to sign out against medical advice D. The institution’s policy on the use of restraints
Answer Choices: Not provided.
Answer: A
Question: What is the highest priority for assessment by nurses caring for older adults who self-administer medications? A. Overuse of medications for acute cystitis B. Misuse of antihypertensive medications C. Trading medications with others D. Anticholinergic effects
Answer Choices: Not provided.
Answer: D
Question: A nurse and social worker co-lead a reminiscence group for six “baby boomer” adults. Which activity is appropriate to include in the group? A. Post-World War II music B. Learning to send and receive email C. Discussing national leadership during the Vietnam War D. Identifying the most troubling story in today’s newspaper
Answer Choices: Not provided.
Answer: C
Question: A nurse wants to perform a preliminary assessment for suicidal ideation in an older adult patient. Which question would obtain the desired data? A. “What thoughts do you have about a person’s right to take his or her own life?” B. “If you felt suicidal, would you communicate your feelings to anyone?” C. “Do you have any risk factors that potentially contribute to suicide?” D. “Do you think you are vulnerable to developing a depressed mood?”
Answer Choices: Not provided.
Answer: A
Question: A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism? (Select all that apply.) A. Failure of older adults to receive necessary medical information B. Development of public policy that favors programs for older adults C. Staff shortages because caregivers prefer working with younger adults
Answer Choices: Not provided.
Answer: A, C