T3: Mental Health (CH. 29) Flashcards Preview

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Flashcards in T3: Mental Health (CH. 29) Deck (39)
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1
Q

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

A

emotional homeostasis

2
Q

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

A

health
early
psychiatric

3
Q

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

A

False

4
Q

Mental health implies satisfaction and ___ in life

A

interest

5
Q

There is no single ___ for mental health.

A

profile

6
Q

There is a need to maintain satisfying interests and ___.

A

activities

7
Q

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

A

reinforced

8
Q

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

A

normal

9
Q

Problems that older adults confront that may challenge emotional ___

A

homeostasis

10
Q

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

A

cause

11
Q

Most frequent psychiatric problem treated in older adults

A

depression

12
Q

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

A

true

13
Q

Signs and symptoms of depression:

A

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

14
Q

Altered cognition when dealing with depression can mimic __.

A

dementia

15
Q

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

A

terminal

16
Q

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

A

suicide

17
Q

Suicide gestures:

2

A

Medication misuse

Self-starvation

18
Q

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

A

anxiety

19
Q

Often a problem that goes unnoticed in the older adult

A

substance abuse

20
Q

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

A

adverse drug reactions (ADR’S)

21
Q

Substance abuse leads to:

4

A

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

22
Q

There is no specific profile for __.

A

alcoholics

23
Q

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

A

criteria

24
Q

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

A

150mg/100mL

25
Q

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

A

alcoholism

26
Q

Long-term goal of substance abuse is ___.

A

sobriety

27
Q

Patient must first ____ to become sober.

A

acknowledge the problem and take responsibility

28
Q

Alcoholism treatment programs for older adults are __.

A

rare

29
Q

What is true related to alcoholism and the older adult?

A

There is a decreased incidence of alcoholism with age

30
Q

There is a frequency occurrence of ___ in older adults

A

paranoia

31
Q

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

A

misperception

32
Q

What are some nursing considerations for mental health conditions?

A
  • monitor medication
  • promote a positive self-concept
  • manage behavioral problems
33
Q

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

A

hope

34
Q

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

A

accomplishments

35
Q

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

A

worth

36
Q

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

A

interactions

37
Q

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

A

coping

38
Q

First step is assessing the __ of the behavior.

A

cause

39
Q

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

A

true