Nokea
A nursing student is reading an article about protective factors for mental illness with older adults. The article mentions the individual?s ability to adapt successfully to stress, trauma, or chronic adversity. The student identifies this as which of the following?
- A. Functional status
- B. Gerotransendence
- C. Resilience
- D. Empty nest
Correct Answer: C
Rationale: Resilience is the ability to adapt to stress, trauma, or adversity, a key protective factor for mental health. Functional status refers to physical capabilities, gerotranscendence to spiritual aging, and empty nest to a life stage, not adaptation.
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A nurse is preparing to conduct an assessment of a 79-year-old woman who has come to the clinic for evaluation. When performing this assessment, which of the following would be most appropriate for the nurse to do? Select all that apply.
- A. Dim any lights that appear too bright.
- B. Face the patient from the side.
- C. Use short, simple sentences.
- D. Focus on one topic at a time.
- E. Speak slowly in a shouting tone.
Correct Answer: A,C,D
Rationale: Appropriate assessment techniques for older adults include dimming bright lights (A) to reduce glare, using short, simple sentences (C), and focusing on one topic (D) to accommodate sensory and cognitive changes. Facing from the side (B) is less effective than facing directly, and shouting (E) may be inappropriate or distressing.
A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing to the patient?s risk for drug toxicity?
- A. Reduced liver function
- B. Reduced brain gray matter volume
- C. Lower metabolic rate at rest
- D. Decreased body water
Correct Answer: A
Rationale: Reduced liver function, common in older adults, impairs drug metabolism, increasing toxicity risk. Reduced brain volume, lower metabolic rate, and decreased body water contribute to other issues but are less directly linked to drug toxicity.
The nurse is working as part of a team to help reduce the stigma attached to mental health treatment for the older adult population. Which of the following would be most appropriate to do to achieve this outcome?
- A. Provide education about mental health and mental disorders.
- B. Initiate screening programs for symptoms.
- C. Ensure older adults received integrated community care.
- D. Institute a wide range of social support services.
Correct Answer: A
Rationale: Providing education about mental health and disorders directly reduces stigma by increasing understanding and normalizing treatment. Screening, integrated care, and social support are valuable but less directly address stigma.
After checking a patient?s blood pressure, he asks the nurse what changes he should expect in himself as he grows older. Which response by the nurse would be most appropriate?
- A. You don?t have anything to worry about; you will basically stay the same.
- B. Your personality will stay the same, but your intelligence level will lessen somewhat.
- C. Usually, you can anticipate that you will begin to react to things more slowly.
- D. You will become increasingly childlike, and your personality will change.
Correct Answer: C
Rationale: Older adults typically experience slower reaction times due to age-related cognitive and neurological changes. Personality and intelligence remain relatively stable, and becoming childlike is not a normal aging process.
The nurse is working with a patient whose mobility is impaired secondary to a fall that resulted in a broken hip. In addition, the patient, who has diabetes, is developing problems with vision and hearing. The patient seems increasingly withdrawn and depressed. The nurse determines that the patient is at risk for spiritual distress. Which intervention would be most appropriate?
- A. Encourage the patient to talk about significant childhood religious experiences.
- B. Offer to take the patient to a revival the nurse?s church is holding in the community.
- C. Read to the patient Bible passages that seem particularly relevant to the patient?s case.
- D. Explore what the mobility, sight, and hearing changes mean to the patient.
Correct Answer: D
Rationale: Exploring the meaning of the patient?s losses addresses spiritual distress by focusing on their personal values and coping, which is patient-centered. Religious interventions (A, B, C) may not align with the patient?s beliefs and could be inappropriate.