ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 17 Questions
Question 1 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 2 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 3 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.
Question 4 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.
Question 5 of 5
A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing to the patient?s risk for drug toxicity?
Correct Answer: A
Rationale: Reduced liver function, common in older adults, impairs drug metabolism, increasing toxicity risk. Reduced brain volume, lower metabolic rate, and decreased body water contribute to other issues but are less directly linked to drug toxicity.