Chapter 18 Mental Health Promotion for Older Adulthood Exam Questions and Answers

Chapter 18 Mental Health Promotion for Older Adulthood Exam Questions and Answers

1. The nurse is preparing to assess a 78-year-old patient who has been diagnosed with major depression. Which of the following would the nurse expect to assess as a normal finding? A) Decrease in body fat B) Increased muscle mass C) Dulled taste sensation D) Enhanced visual acuity 2. A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing the patient’s risk for drug toxicity? A) Reduced liver function B) Reduce brain gray matter volume C) Lower metabolic rate at rest D) Decreased body water 3. An older patient tells the nurse that she is becoming more forgetful. The nurse explains to the patient that this is most likely related to which of the following? A) Anxiety B) Organic brain syndrome C) Plaques in the brain tissue D) Medications 4. While assessing an older adult, the nurse allows ample time for the patient to respond based on the understanding of which of the following? A) Ample time ensures that the correct answer is given. B) The patient is most likely experiencing irreversible memory impairment. C) The patient is experiencing decreased cerebral oxygen flow from reduced activity. D) Ample time is needed to weigh the pros and cons of the perceived risk for answering. 5. The nurse is planning a presentation to a group of older adults on the topic of suicide in the population. One of the group participants asks who has the highest risk of suicide. Which response by the nurse would be most appropriate? A) Older adults who have multiple prescriptions from a variety of different pharmacies. B) Older adults who are experiencing a deep and profound depression. C) Older adult women who are divorced or widowed. D) Men over the age of 75 years who are divorced or widowed. 6. The nurse is working with a patient whose mobility is impaired secondary to a fall that resulted in a broken hip. In addition, the patient, who has diabetes, is developing problems with vision and hearing. The patient seems increasingly withdrawn and depressed. The nurse determines that the patient is at risk for spiritual distress. Which intervention would be most appropriate? A) Encourage the patient to talk about significant childhood religious experiences. B) Offer to take the patient to a revival the nurse’s church is holding in the community. C) Read to the patient Bible passages that seem particularly relevant to the patient’s case. D) Explore what the mobility, sight, and hearing changes mean to the patient.