MENTAL HEALTH CONCERNS AND THE OLDER ADULT Final Examination Questions Select the best answer for each question and complete your test online at EliteLearning.com/Book
11. The older adult is struggling to understand the meaning of their life and the finality of their death. At which psychosocial stage from Erik Erikson’s psychosocial stages of development does the healthcare worker identify these tasks? a. Trust versus mistrust. b. Autonomy verses shame and doubt. c. Initiative versus guilt. d. Integrity versus despair. 12. The healthcare worker is planning care for the older adult cli- ent by examining personal beliefs and feelings. The health- care worker recognizes this as which therapeutic principle? a. Empathy Positive. b. Image. 13. The healthcare worker is assessing a 72-year-old woman who lost her partner nearly three weeks ago. The woman has re- cently become less emotional and expresses that few things in her life have meaning right now. The healthcare worker wants to use clarification as the therapeutic response. What might the healthcare worker say to her? a. “I am worried that you are showing signs of complicated grieving.” b. “I know you are angry. It is ok to let it out.” c. “You should focus on the things in life that you still enjoy.” d. “Tell me more about how you are feeling about your loss.” 14. A healthcare worker is caring for a 78-year-old African Ameri- can man whose wife died recently. The patient admits that he has never received any mental healthcare due to feelings of shame and guilt. The healthcare worker associates his feelings with which healthcare barrier? a. Telemedicine. b. Medicare eligibility. c. Education access and quality. d. Stigma. 15. Assessment considerations for the older adult include excep- tions to confidentiality. All of the following are exceptions to c. Self-awareness. d. Self-disclosure. 16. The healthcare worker is doing an assessment on a widowed older adult who describes her mood as low and her self-es- teem as poor. She states that her caregiver has been insult- ing her for several months and she is scared. The healthcare worker would document this as what? a. Secondary victimization. b. Psychological abuse. 17. The healthcare worker is listening to an older adult bitterly grieve and yearn for her husband who passed over two years ago. The healthcare worker analyzes the interactions to sup- port which of the following? a. Bereavement. c. Abandonment. d. Physical abuse. confidentiality for the healthcare worker EXCEPT: a. The client has an intent to harm self or others. b. Litigation is involved. c. There is a driving disability. d. Elder abuse is suspected or involved.
b. Complicated grief . c. Traumatic grief. d. Uncomplicated grief.
18. The healthcare worker is caring for an older adult patient with multiple comorbidities and chronic pain. During a full physical health assessment, the healthcare worker should also screen for what common symptoms and possible disorder associated with chronic illness and suffering in the older adult population? a. Anxiety. b. Depression. c. Bipolar. d. Schizophrenia. 19. An older adult with multiple comorbidities is struggling to achieve restful sleep. Which of the following is considered the safest primary treatment for sleep disorders? 20. A healthcare worker is preparing to offer treatment options to an older adult with a mental illness. Which of the following would be most appropriate for the nurse to do in regards to recovery? a. Tell the client that she must take her medication. b. Encourage the client to participate in the treatment deci- sions. c. Restrain the client before administering the medications. d. Notify the physician about the client’s refusal of the medi- cation. 21. Connecting with the older adult can be challenging if: a. The older adult has dementia. b. If the Family of the older adult is difficult. c. The healthcare worker harbors conscious or unconscious bias or stereotypes. d. The older adult does not want assistance. 22. When a client says things such as “You remind me so much of my son/daughter” or “You look like a girl/boy a grew up with,” it’s an example of: a. Zolpidem (Ambien). b. Alprazolam (Xanax). c. Sleep hygiene. d. Eszopiclone (Lunesta).
a. Countertransference. b. Acute Recognition.
c. Association. d. Transference.
23. A brief review of verbal and nonverbal communication with older adult considerations can benefit the healthcare worker. Nonverbal communication is: a. Body language. b. Smile. c. Blink eyes. d. Stomping your foot. 24. Ensuring health literacy in the older adult with visual challeng- es includes the following practices EXCEPT: a. Use an average font size of 16 to 18. b. Do not use glossy paper. c. Use powerpoint. d. Ensure the written material can be read by the client.
EliteLearning.com/Pharmacy
Book Code: RPTX3024
Page 32
Powered by FlippingBook