Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 5th Edition by Elizabeth M. Varcarolis
Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 5th Edition by Elizabeth M. Varcarolis
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Chapter 34: Psychosocial Needs of the Older Adult
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
1) A student nurse visiting a nutrition center for the elderly tells the nursing instructor “It is so depressing to see all these old people. They seem so weak and frail. I doubt if I will be able to do my assessment paper because they are probably all senile.” The student is expressing
| A. | reality. |
| B. | ageism. |
| C. | vulnerability. |
| D. | empathy. |
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: Application REF: Text Page: 693, Text Page: 694
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
2) A community mental health nurse has the task of planning an educational program for staff of a home health agency specializing in care of the elderly. A topic of high priority should be
| A. | identifying clinical depression in older adults. |
| B. | providing cost-effective foot care for the elderly. |
| C. | identifying dietary deficiencies in the elderly. |
| 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 are better versed in the physical aspects of care and are less knowledgeable about mental health topics. Statistics show that elderly clients with mental health problems are less likely than young adults to be accurately diagnosed. This is especially true for 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: Analysis REF: Text Page: 693
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
3) The optimal way for a nurse to begin an interview with an elderly client is
| A. | “Hello, _______ [call client by first name]. I am going to be asking you a number of questions to get to know you better.” |
| B. | “ Hello. My name is _______. I am a nurse here. Please tell me how you would like to addressed by staff.” |
| C. | “I am going to be asking you a number of questions about yourself. I would like to call you by your first name if you do not mind.” |
| D. | “Hi. 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 client 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 client. Option A: The nurse has assumed the client wants to be called by a first name but has not introduced self. Option C: Again, the nurse seeks to use the client’s first name and fails to introduce self. Option D: The nurse fails to introduce self and does not identify the client.
DIF: Cognitive Level: Analysis REF: Text Page: 694, Text Page: 695
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4) A client, aged 75 years, has come to the clinic with a report of frequent headaches. Immediately after introducing herself to the client at the outset of the interview, the nurse should
| A. | ask if the client if can hear clearly as she speaks. |
| B. | initiate a neurological assessment to determine risk for stroke. |
| C. | obtain a medication order for the client’s headache. |
| D. | suggest that the client lie down in a darkened room for a few minutes. |
ANS: A
Before proceeding with any further assessment, the nurse should assess the client’s ability to hear questions. Impaired hearing could lead to inaccurate answers.
DIF: Cognitive Level: Application REF: Text Page: 694, Text Page: 695
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe, Effective Care Environment;
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