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While assessing an older adult, the nurse allows ample time for the patient to respond based on the understanding of which of the following?
- A. Ample time ensures that the correct answer is given.
- B. The patient is most likely experiencing irreversible memory impairment.
- C. The patient is experiencing decreased cerebral oxygen flow from reduced activity.
- D. Ample time is needed to weigh the pros and cons of the perceived risk for answering.
Correct Answer: C
Rationale: Older adults may have slower processing due to decreased cerebral oxygen flow from age-related circulatory changes, necessitating ample response time. Ensuring correct answers, assuming irreversible impairment, or weighing risks are less relevant.
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The nurse is presenting a community educational program focusing on older adults and mental health protective factors. One of the participants asks what the influence of co-parenting one?s grandchild has on the mental health of the grandparent. Which response by the nurse would be most appropriate?
- A. The well-being of grandmothers is statistically more significant when they co-parent their grandchildren.
- B. Although there are stresses involved with grandparenting, the positive benefits appear to outweigh the negatives.
- C. White grandmothers experience less well-being when they co-parent their grandchildren.
- D. The perceived well-being of grandfathers who co-parent their grandchildren significantly changes in a positive direction.
Correct Answer: B
Rationale: Co-parenting grandchildren can enhance well-being through purpose and connection, though it involves stress; benefits generally outweigh negatives. Gender-specific or racial claims (A, C, D) lack broad evidence and are less accurate.
A nursing instructor is preparing for a class discussion on polypharmacy and older adults. Which of the following would the instructor expect to include?
- A. The risk for drug abuse, although present, is fairly rare in this population.
- B. Older adults often experience a greater risk for adverse reactions.
- C. Medications are usually prescribed in higher doses initially and then gradually reduced.
- D. Age-related pharmacokinetic changes enhance the drug?s therapeutic effectiveness.
Correct Answer: B
Rationale: Older adults face a greater risk for adverse drug reactions due to age-related changes in metabolism and excretion. Drug abuse is rare, doses are typically lower, not higher, and pharmacokinetic changes often reduce, not enhance, effectiveness.
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.
A group of nursing students is reviewing information about the course of aging in future older adults and qualities that contribute to successful aging. The students demonstrate understanding of this information when they identify which of the following as least important?
- A. Capacity to adapt to change
- B. Engagement in life
- C. Stability with reliable social support
- D. Physical health
Correct Answer: D
Rationale: While physical health is important, successful aging relies more on adaptability, engagement, and social support, as these psychosocial factors often outweigh physical limitations in promoting well-being. Physical health is less critical in defining successful aging.
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.