Chapter 14 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

Chapter 14 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse who is assessing the mental wellness of an older adult client bears in mind that the U.S. Surgeon General’s definition of mental wellness addresses which of the following areas?

1. Level of consciousness
2. Ability to adapt to stress and cope
3. Compliance with medication
4. The range of emotions one experiences in one day

Correct Answer: 2

Rationale 1: Level of consciousness is not included in the definition.

Rationale 2: Correct. The U.S. Surgeon General states that mental wellness consists of four areas: successful performance of mental functioning, productive activities, fulfilling relationships with other people, and an ability to adapt to change and cope.

Rationale 3: Whether or not one is compliant with medication is not in the definition.

Rationale 4: Range of emotions experienced in one day is not in the definition.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Describe mental wellness.

 

Question 2

Type: MCSA

An older adult client at a psychiatric day facility asks a nurse for some tips on how to stay mentally healthy. Which of the following should the nurse include in the teaching?

1. “Engage in some sort of hobby or activity to keep mentally active, and be flexible to adapt to the constant change in one’s life.”
2. “Keep your attitudes tending toward neutral; that way when disappointments occur, you won’t be taken by surprise.”
3. “Don’t stress yourself out by setting goals for yourself. Just take one day at a time as it comes.”
4. “Spend the majority of your time alone. One is then able to destress and spend time collecting one’s thoughts.”

Correct Answer: 1

Rationale 1: Correct. By remaining mentally active and adapting to change, one can be prepared to solve problems and avoid build-up of stress.

Rationale 2: A positive attitude helps one maintain overall health.

Rationale 3: Setting goals for oneself and working to achieve them actually develops a sense of purpose and hope.

Rationale 4: Social isolation breeds depression and can actually limits one’s intellectual stimulation.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Describe mental wellness.

 

Question 3

Type: MCSA

A nurse working with an older, recently widowed adult client in a senior center suggests that the client begin volunteering in the center. By doing so, the nurse has focused on which of the following suggested methods for maintaining mental wellness?

1. Maintaining mental abilities
2. Disease prevention
3. Socialization
4. Humor

Correct Answer: 3

Rationale 1: Although maintaining mental abilities is part of maintaining mental wellness, volunteering is actually an example of the socialization component.

Rationale 2: Although preventing disease is part of maintaining mental wellness, volunteering is an actually example of the socialization component.

Rationale 3: Correct. Socialization is an important component of mental wellness. An older adult accomplishes this by interacting with friends and family as well as by volunteering in different organizations.

Rationale 4: Although incorporating humor into one’s life is part of maintaining mental wellness, volunteering is an example of the socialization component.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: List techniques to promote successful aging related to mental health.

 

Question 4

Type: MCSA

In an assistive living facility, the nurse overhears one nursing assistant tell another nursing assistant, “I never try to joke with any of the clients here. I am afraid of making someone mad or making them cry.” Which one of these responses would be the correct thing to say to this nursing assistant?

1. “You’re exactly right with your approach. It’s always best for you to let the client set the tone for the conversation. Never try to joke with them.”
2. “Sometimes the clients do such funny things around here that it is impossible not to laugh at them. I always say I’m laughing with them.”
3. “Joking shows great insensitivity to the clients’ numerous life problems. Most of them have very serious difficulties—they are no laughing matter.”
4. “As long as you are not laughing at the client, engaging in some joking is really beneficial. Humor has been shown to increase physical, mental, and emotional health.”

Correct Answer: 4

Rationale 1: Although it is best to let the client set the tone for the conversation, humor has been shown to improve physical, mental, and emotional health.

Rationale 2: Nurses should never laugh at the client’s expense as this would be detrimental to the client’s self-esteem.

Rationale 3: Although older have many life difficulties, engaging in some humor has been shown to improve physical, mental, and emotional health.

Rationale 4: Correct. Engaging in humor increases physical, mental, and emotional health.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: List techniques to promote successful aging related to mental health.