T3: Mental Health (CH. 29)

Question 1

Mental health indicates a capacity to cope effectively with and manage life stressors in an effort to achieve ___ ___.

Answer 1

emotional homeostasis

Question 2

Need to promote mental __, detect problems __, and minimize the impact of existing __ problems.

Answer 2

health
early
psychiatric

Question 3

T/F: The rate of completed suicide among older persons is the lowest of any age group in the United States.

Answer 3

False

Question 4

Mental health implies satisfaction and ___ in life

Answer 4

interest

Question 5

There is no single ___ for mental health.

Answer 5

profile

Question 6

There is a need to maintain satisfying interests and ___.

Answer 6

activities

Question 7

Promoting mental health: Opportunities to sense value as a member of society and have self-worth __.

Answer 7

reinforced

Question 8

Assess symptoms as they may be “__” reactions to life circumstances

Answer 8

normal

Question 9

Problems that older adults confront that may challenge emotional ___

Answer 9

homeostasis

Question 10

Address the __ of the problem rather than effects/symptoms alone

Answer 10

cause

Question 11

Most frequent psychiatric problem treated in older adults

Answer 11

depression

Question 12

T/F: Major depression declines with age, but minor depression increases with age.

Answer 12

true

Question 13

Signs and symptoms of depression:

Answer 13

Self-deprecation, guilt, apathy, remorse, hopelessness, helplessness, feelings of being a burden, changes in sleep and psychomotor activity, vegetative symptoms, problems with relationships,.

Question 14

Altered cognition when dealing with depression can mimic __.

Answer 14

dementia

Question 15

Assess relationship of life events and/or serious or ___ illness with depression.

Answer 15

terminal

Question 16

Their is a real and serious risk of __ with depression.

Answer 16

suicide

Question 17

Suicide gestures:

2

Answer 17

Medication misuse

Self-starvation

Question 18

The consumption of caffeine, alcohol, nicotine, and over-the-counter drugs should be reviewed for possible causes of __.

Answer 18

anxiety

Question 19

Often a problem that goes unnoticed in the older adult

Answer 19

substance abuse

Question 20

There is a potential for ___ __ __ when it comes to substance abuse.

Answer 20

adverse drug reactions (ADR’S)

Question 21

Substance abuse leads to:

4

Answer 21

Increases risk for falls, decreased cognition, abuse, and self-neglect

Question 22

There is no specific profile for __.

Answer 22

alcoholics

Question 23

Drink a fifth of whiskey a day or its equivalent in wine or beer (for a 180-lb person) is the ___ for diagnosing alcoholism.

Answer 23

criteria

Question 24

Blood alcohol level greater than ____ is a sign of alcoholism.

Answer 24

150mg/100mL

Question 25

Continued drinking despite medical advice or problems caused by drinking is a sign of ___.

Answer 25

alcoholism

Question 26

Long-term goal of substance abuse is ___.

Answer 26

sobriety

Question 27

Patient must first ____ to become sober.

Answer 27

acknowledge the problem and take responsibility

Question 28

Alcoholism treatment programs for older adults are __.

Answer 28

rare

Question 29

What is true related to alcoholism and the older adult?

Answer 29

There is a decreased incidence of alcoholism with age

Question 30

There is a frequency occurrence of ___ in older adults

Answer 30

paranoia

Question 31

There is a need to explore mechanisms to reduce insecurity and ___.

Answer 31

misperception

Question 32

What are some nursing considerations for mental health conditions?

Answer 32

- monitor medication - promote a positive self-concept - manage behavioral problems

Question 33

People need to feel their lives have had meaning and that there is __

Answer 33

hope

Question 34

Promoting a positive self-concept: Take interest in the lives and ___ of the older adult

Answer 34

accomplishments

Question 35

Life review, oral histories, and scrapbook of life events may assist in the sense of __.

Answer 35

worth

Question 36

Ensure engagement in meaningful social ___ that allow opportunities to “do for” others

Answer 36

interactions

Question 37

Behavior problems occur in persons with altered cognitive status who are incapable of thinking rationally, making good judgements, and __.

Answer 37

coping

Question 38

First step is assessing the __ of the behavior.

Answer 38

cause

Question 39

T/F: The first nursing intervention necessary to address problem behaviors in the older adult population is assessment.

Answer 39

true