ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 17 : Mental Health Promotion for Older Adults Questions
Question 1 of 5
While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient?s sensory function based on the understanding of which of the following?
Correct Answer: B
Rationale: Sensory decline (e.g., hearing, vision) can impair information processing, affecting mental status examination results. Patterns of decline vary, sensory changes don?t directly alter other systems for medication reactions, and cognitive mimicry is possible but less primary.
Question 2 of 5
A group of nursing students is reviewing information about the course of aging in future older adults and qualities that contribute to successful aging. The students demonstrate understanding of this information when they identify which of the following as least important?
Correct Answer: D
Rationale: While physical health is important, successful aging relies more on adaptability, engagement, and social support, as these psychosocial factors often outweigh physical limitations in promoting well-being. Physical health is less critical in defining successful aging.
Question 3 of 5
A nurse is preparing to conduct an assessment of a 79-year-old woman who has come to the clinic for evaluation. When performing this assessment, which of the following would be most appropriate for the nurse to do? Select all that apply.
Correct Answer: A,C,D
Rationale: Appropriate assessment techniques for older adults include dimming bright lights (
A) to reduce glare, using short, simple sentences (
C), and focusing on one topic (
D) to accommodate sensory and cognitive changes. Facing from the side (
B) is less effective than facing directly, and shouting (E) may be inappropriate or distressing.
Question 4 of 5
A nursing instructor is preparing for a class discussion on polypharmacy and older adults. Which of the following would the instructor expect to include?
Correct Answer: B
Rationale: Older adults face a greater risk for adverse drug reactions due to age-related changes in metabolism and excretion. Drug abuse is rare, doses are typically lower, not higher, and pharmacokinetic changes often reduce, not enhance, effectiveness.
Question 5 of 5
A group of nursing students is reviewing risk and protective factors associated for mental disorders in the older adult population. The students demonstrate understanding of the information when they identify which of the following as a protective factor?
Correct Answer: B
Rationale: Education is a protective factor for mental health in older adults, promoting cognitive reserve and coping skills. Poverty, loss, and chronic illness are risk factors, increasing vulnerability to mental disorders.