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
37. 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 38. The healthcare worker is planning care for the older adult client by examining personal beliefs and feelings. The healthcare worker recognizes this as which therapeutic principle? a. Empathy 39. The healthcare worker is assessing a 72-year-old woman who lost her partner nearly three weeks ago. The woman has recently 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.” 40. A healthcare worker is caring for a 78-year-old African American 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 41. Assessment considerations for the older adult include exceptions to confidentiality. All of the following are exceptions to 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. 42. The healthcare worker is doing an assessment on a b. Positive Image c. Self-awareness d. Self-disclosure widowed older adult who describes her mood as low and her self-esteem as poor. She states that her caregiver has been insulting her for several months and she is scared. The healthcare worker would document this as what? a. Secondary victimization b. Psychological abuse
43. 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 support which of the following? a. Bereavement b. Complicated grief c. Traumatic grief d. Uncomplicated grief 44. 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 45. 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? a. Zolpidem (Ambien) b. Alprazolam (Xanax) c. Sleep hygiene d. Eszopiclone (Lunesta) 46. 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 decisions c. Restrain the client before administering the medications d. Notify the physician about the client’s refusal of the medication 47. 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
48. 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. Countertransference b. Acute Recognition
c. Association d. Transference
49. 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
c. Abandonment d. Physical abuse
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Book Code: PYMA2024
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