ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 17 : Mental Health Promotion for Older Adults Questions
Question 1 of 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?
Correct Answer: D
Rationale: Men over 75 who are divorced or widowed have the highest suicide risk in older adults due to social isolation, loss, and gender-specific tendencies. Depression is a risk factor, but men in this demographic are particularly vulnerable. Women and polypharmacy are less specific.
Question 2 of 5
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 The patient seems increasingly withdrawn and depressed.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?
Correct Answer: D
Rationale: Exploring the meaning of the patient?s losses addresses spiritual distress by focusing on their personal values and coping, which is patient-centered. Religious interventions (A, B,
C) may not align with the patient?s beliefs and could be inappropriate.
Question 3 of 5
After checking a patient?s blood pressure, he asks the nurse what changes he should expect in himself as he grows older. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: Older adults typically experience slower reaction times due to age-related cognitive and neurological changes. Personality and intelligence remain relatively stable, and becoming childlike is not a normal aging process.
Question 4 of 5
A nurse is reviewing the medical records of several older adult patients. The nurse determines that which individual would have the least chance of developing mental health problems with aging?
Correct Answer: B
Rationale: The married woman with graduate education, balanced diet, and regular exercise has protective factors (education, social support, healthy lifestyle) reducing mental health risks. The others have risk factors like lower education, poor diet, or minimal exercise.
Question 5 of 5
The nurse is presenting a community educational program focusing on older adults and mental health protective factors. One of the participants asks what the influence of co-parenting one?s grandchild has on the mental health of the grandparent. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Co-parenting grandchildren can enhance well-being through purpose and connection, though it involves stress; benefits generally outweigh negatives. Gender-specific or racial claims (A, C,
D) lack broad evidence and are less accurate.