Chapter 38 Mental Health Assessment of Older Adults Exam Questions and Answers

Chapter 38 Mental Health Assessment of Older Adults Exam Questions and Answers

1. A nurse is caring for a 76-year-old patient with a hearing deficit caused by presbycusis. Which of the following would be most appropriate for the nurse to do when communicating with the patient? A) Use a higher volume of speech. B) Address the client’s family members. C) Ask if the client can use sign language. D) Use lower pitched tones. 2. The nurse is caring for a 78-year-old client who is taking an anticholinergic medication and complains of dry mouth. Which of the following would be most appropriate for the nurse to suggest? A) Chew hard candies. B) Rinse the mouth with a mouthwash. C) Use more seasonings on food. D) Drink decaffeinated beverages often. 3. An elderly client tells the nurse that she had been constipated for the last few days and decided to use an over-the-counter fiber laxative that is dissolved in water. When reviewing these of this laxative with the client, which of the following would the nurse include as a possible side effect? A) Diarrhea B) Nausea C) Flatus D) Stomach pain 4. An 80-year-old client visits the mental health clinic with her daughter. During the assessment process, the client tells the nurse that she is taking an antidepressant, an antibiotic, and an occasional aspirin. Which question would be most important for the nurse to ask? A) How much grapefruit juice do you drink on a daily basis? B) How much orange juice do you drink on a daily basis? C) How much tomato juice do you drink on a daily basis? D) How much grape juice do you drink on a daily basis? 5. While caring for an 88-year-old client suspected of having dementia, the nurse assesses the client for a common delusional thought. Which of the following would the nurse interpret as a common delusion? A) I am the king of the universe. B) Creatures are living in my closet. C) The government has people following me. D) My roommate keeps stealing my clothes. 6. The nurse is assessing a 78-year-old client who lives alone in his own home. To assess the client’s instrumental activities of daily living, which question would be most appropriate to ask? A) How often do you bathe or shower? B) How many times do you change clothes during the day? C) How often do you cook meals for yourself? D) How often do you go to the store to buy groceries? 7. The nurse is assessing a client who has a history of heavy drinking and who lost his wife to cancer during the previous year. He reports that he isn’t getting as much sleep as he used to when he was younger. Which question would be most appropriate to ask the client to determine if the change in his sleep pattern is related to normal aging or depression? A) How much did you sleep when you were younger?