Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
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Chapter 28: Older Adults
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | reality. |
| b. | ageism. |
| c. | empathy. |
| d. | advocacy. |
ANS: B
Ageism is defined as a bias against older people because of their age. None of the other options can be identified from the ideas expressed by the student.
DIF: Cognitive Level: Comprehension REF: Pages: 527-528
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
| a. | identifying clinical 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. |
ANS: A
The topic of greatest immediacy is the identification of clinical depression in older adults. Home health staff members are better versed in the physical aspects of care and less knowledgeable about mental health topics. Statistics show that older adult patients with mental health problems are less likely than young adults to be diagnosed accurately. This is especially true for those with depression and anxiety, both of which are likely to be misinterpreted as normal aging. Undiagnosed and untreated depression and anxiety result in unnecessary suffering. The other options are of lesser importance.
DIF: Cognitive Level: Application REF: Pages: 529-530
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
| 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?” |
ANS: B
This opening identifies the nurse’s role and politely seeks direction for addressing the patient in a way that will make him or her comfortable. This is particularly important when a considerable age difference exists between the nurse and the patient. The nurse should address patients by name, but should not assume a patient wants to be called by his or her first name. The nurse should always introduce him- or herself.
DIF: Cognitive Level: Analysis REF: Pages: 529-530
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | initiate a neurologic assessment. |
| b. | ask if the patient can hear clearly as the nurse speaks. |
| c. | suggest that the patient lie down in a darkened room for a few minutes. |
| d. | administer medication to relieve the patient’s pain before performing the assessment. |
ANS: B
Before proceeding, the nurse should assess the patient’s ability to hear questions. Impaired hearing could lead to inaccurate answers. The nurse should not administer medication (an intervention) until after the assessment is complete.
DIF: Cognitive Level: Application REF: Page: 529
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
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