Test Bank for Varcarolis’
Essentials of Psychiatric Mental
Health Nursing 5th Edition By
Chyllia Fosbre (All Chapters 1-28,
100% Original Verified, A+ Garde)
All Chapters Arranged Reverse: 28-1
Chapter Wise (1-28) Download link is
Added at The End of PDF File.
This is The Only Original and
Complete Test Bank for 5th
Edition, All Other Files in The
Market are Fake/Old/Wrong
Edition.
,Chapter 28: Older Adults
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
MULTIPLE CHOICE
1. A student nurse visiting a senior center tells the instructor, “It’s so depressing to see all these
old people. They are so weak and frail. They are probably all confused.” The student is
expressing what attitude?
a. Reality
b. Ageism
c. Empathy
d. Distrust
ANS: B
Ageism is defined as a bias against older people because of their age. None of the other
options can be identified from the ideas expressed by the student.
DIF: Cognitive Level: Comprehension (Understanding)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
2. 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?
a. Identifying depression in older adults
b. Providing cost-effective foot care for older adults
c. Identifying nutritional deficiencies in older adults
d. Psychosocial stimulation for those who live alone
ANS: A
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. This is especially true for those with depression and anxiety, both of which are
likely to be misinterpreted as normal aging. Undiagnosed and untreated depression and
anxiety result in unnecessary suffering. The other options are of lesser importance.
DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Planning
MSC: NCLEX: Psychosocial Integrity
3. Which is the best statement for a nurse to use when beginning an interview with an older adult
patient?
a. “Hello, [call patient by first name]. I am going to ask you some questions to get to
know you better.”
b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would
like to be addressed by the staff.”
c. “I am going to ask you some questions about yourself. I would like to call you by
your first name if you don’t mind.”
d. “You look as though you are comfortable and ready to participate in an admission
interview. Shall we get started?”
, ANS: B
The correct response identifies the nurse’s role and politely seeks direction for addressing the
patient in a way that will make him or her comfortable. This is particularly important when a
considerable age difference exists between the nurse and the patient. The nurse should address
a patient by name but should not assume the patient wants to be called by his or her first
name. The nurse should always introduce himself or herself.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction
at the beginning of the interview, what should the nurse address?
a. Initiate a neurological assessment.
b. Assess if the patient can hear the spoken word clearly.
c. Suggest that the patient lie down in a darkened room to rest.
d. Administer medication to relieve the patient’s pain prior to the assessment.
ANS: B
Before proceeding, the nurse should assess the patient’s ability to hear questions. Hearing
ability often declines with age. Impaired hearing could lead to inaccurate answers. The nurse
should not administer medication (an intervention) until after the assessment is complete.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
5. Which statement about aging provides the best rationale for focused assessment of older adult
patients?
a. Older adults are often socially isolated and lonely.
b. As people age, they become more rigid in their thinking.
c. The majority of older adults sleep more than 12 hours per day.
d. The senses of vision, hearing, touch, taste, and smell decline with age.
ANS: D
Only the correct answer is true and cues the nurse to assess carefully the sensory functions of
the older adult patient. The incorrect options are myths about aging.
DIF: Cognitive Level: Comprehension (Understanding)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
6. A nurse asks the following questions while assessing an older adult. The nurse will add the
Geriatric Depression Scale as part of the assessment if the patient answers “yes” to which
question?
a. “Would you say your mood is often sad?”
b. “Are you having any trouble with your memory?”
c. “Have you noticed an increase in your alcohol use?”
d. “Do you often experience moderate-to-severe pain?”
ANS: A
Sadness may be a symptom of depression. Sad moods occurring with regularity should signal
the need to assess further for other symptoms of depression. The incorrect options do not
focus on mood.
, DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
7. A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is
usually alert and oriented. This morning, however, the resident says, “My family visited
during the night. They stood by the bed and talked to me.” In reality, the patient’s family lives
200 miles away. The nurse should first suspect what as the trigger for the resident’s
experience?
a. A side effects associated with medications.
b. Early Alzheimer’s disease associated with advanced age.
c. A transient ischemic attack and developed sensory perceptual alterations.
d. Previously unidentified alcohol abuse and is beginning alcohol withdrawal
delirium.
ANS: A
A resident taking medications is at high risk for becoming confused because of medication
side effects, drug interactions, and delayed excretion. The nurse should report the event and
continue to assess for cognitive impairment. Symptoms of dementia develop slowly but
persist over time. Alcohol abuse and withdrawal are not the nurse’s first suspicion in this
scenario.
DIF: Cognitive Level: Analysis (Analyzing)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe, Effective Care Environment
8. A health care provider writes these new prescriptions for a resident in a skilled care facility: “2
g sodium diet; restraint as needed; limit fluids to 2000 mL daily; 1 dose milk of magnesia 30
mL orally if no bowel movement occurs for 3 days.” Which prescription should the nurse
question?
a. Restraint
b. Fluid restriction
c. Milk of magnesia
d. Sodium restriction
ANS: A
Restraints may be applied only on the written order of the health care provider that specifies
the duration during which the restraints can be used. The Joint Commission guidelines and
Omnibus Budget Reconciliation Act regulations also mandate a number of other conditions
that must be considered and documented before restraints are used. The other orders may be
appropriate for implementation.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
9. If an older adult patient must be physically restrained, who is responsible for the patient’s
safety?
a. Nurse assigned to care for the patient.
b. Nursing assistant who applies the restraint.
c. Health care provider who ordered the application of the restraint.
d. Family member who agrees to the application of the restraint.
ANS: A
Essentials of Psychiatric Mental
Health Nursing 5th Edition By
Chyllia Fosbre (All Chapters 1-28,
100% Original Verified, A+ Garde)
All Chapters Arranged Reverse: 28-1
Chapter Wise (1-28) Download link is
Added at The End of PDF File.
This is The Only Original and
Complete Test Bank for 5th
Edition, All Other Files in The
Market are Fake/Old/Wrong
Edition.
,Chapter 28: Older Adults
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
MULTIPLE CHOICE
1. A student nurse visiting a senior center tells the instructor, “It’s so depressing to see all these
old people. They are so weak and frail. They are probably all confused.” The student is
expressing what attitude?
a. Reality
b. Ageism
c. Empathy
d. Distrust
ANS: B
Ageism is defined as a bias against older people because of their age. None of the other
options can be identified from the ideas expressed by the student.
DIF: Cognitive Level: Comprehension (Understanding)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
2. 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?
a. Identifying depression in older adults
b. Providing cost-effective foot care for older adults
c. Identifying nutritional deficiencies in older adults
d. Psychosocial stimulation for those who live alone
ANS: A
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. This is especially true for those with depression and anxiety, both of which are
likely to be misinterpreted as normal aging. Undiagnosed and untreated depression and
anxiety result in unnecessary suffering. The other options are of lesser importance.
DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Planning
MSC: NCLEX: Psychosocial Integrity
3. Which is the best statement for a nurse to use when beginning an interview with an older adult
patient?
a. “Hello, [call patient by first name]. I am going to ask you some questions to get to
know you better.”
b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would
like to be addressed by the staff.”
c. “I am going to ask you some questions about yourself. I would like to call you by
your first name if you don’t mind.”
d. “You look as though you are comfortable and ready to participate in an admission
interview. Shall we get started?”
, ANS: B
The correct response identifies the nurse’s role and politely seeks direction for addressing the
patient in a way that will make him or her comfortable. This is particularly important when a
considerable age difference exists between the nurse and the patient. The nurse should address
a patient by name but should not assume the patient wants to be called by his or her first
name. The nurse should always introduce himself or herself.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction
at the beginning of the interview, what should the nurse address?
a. Initiate a neurological assessment.
b. Assess if the patient can hear the spoken word clearly.
c. Suggest that the patient lie down in a darkened room to rest.
d. Administer medication to relieve the patient’s pain prior to the assessment.
ANS: B
Before proceeding, the nurse should assess the patient’s ability to hear questions. Hearing
ability often declines with age. Impaired hearing could lead to inaccurate answers. The nurse
should not administer medication (an intervention) until after the assessment is complete.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
5. Which statement about aging provides the best rationale for focused assessment of older adult
patients?
a. Older adults are often socially isolated and lonely.
b. As people age, they become more rigid in their thinking.
c. The majority of older adults sleep more than 12 hours per day.
d. The senses of vision, hearing, touch, taste, and smell decline with age.
ANS: D
Only the correct answer is true and cues the nurse to assess carefully the sensory functions of
the older adult patient. The incorrect options are myths about aging.
DIF: Cognitive Level: Comprehension (Understanding)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
6. A nurse asks the following questions while assessing an older adult. The nurse will add the
Geriatric Depression Scale as part of the assessment if the patient answers “yes” to which
question?
a. “Would you say your mood is often sad?”
b. “Are you having any trouble with your memory?”
c. “Have you noticed an increase in your alcohol use?”
d. “Do you often experience moderate-to-severe pain?”
ANS: A
Sadness may be a symptom of depression. Sad moods occurring with regularity should signal
the need to assess further for other symptoms of depression. The incorrect options do not
focus on mood.
, DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
7. A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is
usually alert and oriented. This morning, however, the resident says, “My family visited
during the night. They stood by the bed and talked to me.” In reality, the patient’s family lives
200 miles away. The nurse should first suspect what as the trigger for the resident’s
experience?
a. A side effects associated with medications.
b. Early Alzheimer’s disease associated with advanced age.
c. A transient ischemic attack and developed sensory perceptual alterations.
d. Previously unidentified alcohol abuse and is beginning alcohol withdrawal
delirium.
ANS: A
A resident taking medications is at high risk for becoming confused because of medication
side effects, drug interactions, and delayed excretion. The nurse should report the event and
continue to assess for cognitive impairment. Symptoms of dementia develop slowly but
persist over time. Alcohol abuse and withdrawal are not the nurse’s first suspicion in this
scenario.
DIF: Cognitive Level: Analysis (Analyzing)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe, Effective Care Environment
8. A health care provider writes these new prescriptions for a resident in a skilled care facility: “2
g sodium diet; restraint as needed; limit fluids to 2000 mL daily; 1 dose milk of magnesia 30
mL orally if no bowel movement occurs for 3 days.” Which prescription should the nurse
question?
a. Restraint
b. Fluid restriction
c. Milk of magnesia
d. Sodium restriction
ANS: A
Restraints may be applied only on the written order of the health care provider that specifies
the duration during which the restraints can be used. The Joint Commission guidelines and
Omnibus Budget Reconciliation Act regulations also mandate a number of other conditions
that must be considered and documented before restraints are used. The other orders may be
appropriate for implementation.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
9. If an older adult patient must be physically restrained, who is responsible for the patient’s
safety?
a. Nurse assigned to care for the patient.
b. Nursing assistant who applies the restraint.
c. Health care provider who ordered the application of the restraint.
d. Family member who agrees to the application of the restraint.
ANS: A
