ATI LPN
Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4e 4th Edition
Chapter 28 Questions
Question 1 of 5
A nurse assessing an older adult patient for depression should include questions about mood as well as which other symptoms?
Correct Answer: B,C,D,E
Rationale: These symptoms are often noted in older adult patients experiencing depression. Somatic symptoms are often present but missed by nurses as being related to depression.
Question 2 of 5
A 74-year-old patient is regressed and apathetic. This patient responds to others only when they initiate the interaction. Which therapy would be most useful to promote resocialization?
Correct Answer: B
Rationale: Re-motivation therapy is designed to re-socialize patients who are regressed and apathetic by focusing on a single topic, creating a bridge to reality.
Question 3 of 5
What is the highest priority for assessment by nurses caring for older adults who self-administer medications?
Correct Answer: A
Rationale: Anticholinergic effects are cumulative in older adults and often have adverse consequences related to accidents and injuries.
Question 4 of 5
A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. What topic is of high priority?
Correct Answer: A
Rationale: Depression is the most common, most debilitating, and also most treatable psychiatric disorder in the older adult. Home health staff are often 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.
Question 5 of 5
Which beliefs facilitate provision of safe, effective care for older adult patients?
Correct Answer: B,C,D
Rationale: Older adults are more prone to become crime victims, experience a decline in restorative sleep, and can continue learning new tasks, which affect care delivery.