Nokea
Which of the following is a physical clinical finding of depression in older adults?
- A. Increased anxiety
- B. Slowed memory
- C. Slowed intellect
- D. Headache
Correct Answer: D
Rationale: Increased anxiety is a psychological symptom, not a physical finding, though it may accompany depression. Slowed memory and intellect are cognitive symptoms related to depression’s impact on thinking, not physical manifestations. Physical symptoms of depression can include changes in sleep, appetite, or pain, such as headaches, which are commonly reported in older adults as a somatic expression of the disorder.
You may also like to solve these questions
Which of the following mental health disorders commonly occurs in older adults?
- A. Personality disorder
- B. Depression
- C. Somatoform disorder
- D. Schizophrenia
Correct Answer: B
Rationale: Personality disorders are lifelong, not age-specific. Depression is prevalent in older adults due to health and social changes. Somatoform disorders aren’t age-specific. Schizophrenia onset is earlier, not typical in later life.
A nurse is caring for a client who was admitted with delirium five days ago. The client seeks permission from the nurse before performing ADLs. Which of the following actions should the nurse take?
- A. Quiz the client with orientation questions.
- B. Allow the client to function independently.
- C. Prepare the client for discharge.
- D. Determine the client's level of awareness.
Correct Answer: D
Rationale: Quizzing assesses but isn’t first. Independence is good but needs assessment first. Discharge is premature without evaluation. Determining awareness guides support, fitting delirium’s fluctuating nature.
A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?
- A. Incoherent speech
- B. Irritability
- C. Insomnia
- D. Chest pain
Correct Answer: B
Rationale: Incoherent speech indicates severe anxiety. Irritability is a mild anxiety sign, with maintained function. Insomnia suggests chronic anxiety. Chest pain aligns with severe anxiety or panic.
A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?
- A. A client expresses dislike of orange juice after reporting earlier that it was a favorite juice.
- B. A client wants to know what type of poison the nurse placed in her medication.
- C. A client asks when family members will be arriving after visiting 1 hr earlier.
- D. A client requests extra blankets when the thermostat in the room indicates 80°F.
Correct Answer: C
Rationale: Changing preferences isn’t delirium-specific. Suspecting poison suggests delusion, not necessarily delirium. Confusion about recent events, like family visits, indicates delirium’s hallmark disorientation. Requesting blankets in a warm room may reflect sensory issues, not delirium directly.
A client with Alzheimer's disease has difficulty with bathing and dressing activities. This is an example of which type of loss?
- A. Physical loss
- B. Functional loss
- C. Affective loss
- D. Conative loss
Correct Answer: B
Rationale: Physical loss involves losing a body part or function, not the ability to perform tasks. Functional loss is the reduced ability to perform daily activities like bathing and dressing, common in Alzheimer’s due to cognitive and motor decline. Affective loss is emotional, and conative loss relates to motivation, neither fitting this scenario.