D346 NURS 6439 Advanced PMH Care of Adults
& Older Adults Across Care Settings
Complete FA Exam Review (Qns & Ans)
2025
1. What is a critical consideration when assessing mental health
in older adults?
- a) Increased sensitivity to cultural influences
- b) Prevalence of neurocognitive disorders such as dementia
- c) Reduced importance of physical health in psychiatric
assessments
- d) Lower risk of medication interactions compared to younger
adults
ANS : b) Prevalence of neurocognitive disorders such as
dementia
©2025
, Rationale : Dementia and other neurocognitive disorders are
common and significantly impact mental health in older adults.
2. Which factor primarily contributes to mental health
challenges in adults across care settings?
- a) Family history of mental illness
- b) Chronic illnesses such as diabetes and hypertension
- c) Employment instability
- d) All of the above
ANS : d) All of the above
Rationale : Psychiatric conditions often result from a
combination of genetic predisposition, chronic health issues, and
socioeconomic stressors.
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Fill-in-the-Blank
3. Psychiatric care for older adults should prioritize ________ to
address medication sensitivities and interactions.
ANS : polypharmacy management
Rationale : Older adults often use multiple medications,
increasing the risk of adverse effects and interactions.
©2025
,4. Adults with post-traumatic stress disorder (PTSD) often
benefit from evidence-based therapies such as ________.
ANS : cognitive behavioral therapy (CBT)
Rationale : CBT is effective in reducing PTSD symptoms by
addressing maladaptive thought patterns.
---
True/False
5. Integrated care models improve psychiatric outcomes for
adults and older adults by addressing both physical and mental
health needs.
ANS : True
Rationale : Integrated models provide comprehensive care,
reducing fragmentation and improving overall health outcomes.
6. Geriatric psychiatry excludes psychosocial interventions in
favor of pharmacological treatments.
ANS : False
Rationale : Psychosocial interventions play a critical role in
enhancing quality of life and managing psychiatric conditions in
older adults.
©2025
, ---
Multiple Response
7. What are essential elements of a mental health assessment for
older adults? (Select all that apply)
- a) Cognitive function evaluation
- b) Medication reconciliation
- c) Assessment of caregiver support
- d) Screening for substance use disorders
ANS : a), b), c), d)
Rationale : Comprehensive assessments ensure all domains of
mental health are evaluated, including cognition, medication use,
and social factors.
8. Which psychiatric symptoms warrant immediate intervention
in adults across care settings? (Select all that apply)
- a) Acute suicidal ideation
- b) Severe withdrawal symptoms
- c) Mild sadness lasting less than one week
- d) Psychotic features causing harm to self or others
ANS : a), b), d)
©2025
& Older Adults Across Care Settings
Complete FA Exam Review (Qns & Ans)
2025
1. What is a critical consideration when assessing mental health
in older adults?
- a) Increased sensitivity to cultural influences
- b) Prevalence of neurocognitive disorders such as dementia
- c) Reduced importance of physical health in psychiatric
assessments
- d) Lower risk of medication interactions compared to younger
adults
ANS : b) Prevalence of neurocognitive disorders such as
dementia
©2025
, Rationale : Dementia and other neurocognitive disorders are
common and significantly impact mental health in older adults.
2. Which factor primarily contributes to mental health
challenges in adults across care settings?
- a) Family history of mental illness
- b) Chronic illnesses such as diabetes and hypertension
- c) Employment instability
- d) All of the above
ANS : d) All of the above
Rationale : Psychiatric conditions often result from a
combination of genetic predisposition, chronic health issues, and
socioeconomic stressors.
---
Fill-in-the-Blank
3. Psychiatric care for older adults should prioritize ________ to
address medication sensitivities and interactions.
ANS : polypharmacy management
Rationale : Older adults often use multiple medications,
increasing the risk of adverse effects and interactions.
©2025
,4. Adults with post-traumatic stress disorder (PTSD) often
benefit from evidence-based therapies such as ________.
ANS : cognitive behavioral therapy (CBT)
Rationale : CBT is effective in reducing PTSD symptoms by
addressing maladaptive thought patterns.
---
True/False
5. Integrated care models improve psychiatric outcomes for
adults and older adults by addressing both physical and mental
health needs.
ANS : True
Rationale : Integrated models provide comprehensive care,
reducing fragmentation and improving overall health outcomes.
6. Geriatric psychiatry excludes psychosocial interventions in
favor of pharmacological treatments.
ANS : False
Rationale : Psychosocial interventions play a critical role in
enhancing quality of life and managing psychiatric conditions in
older adults.
©2025
, ---
Multiple Response
7. What are essential elements of a mental health assessment for
older adults? (Select all that apply)
- a) Cognitive function evaluation
- b) Medication reconciliation
- c) Assessment of caregiver support
- d) Screening for substance use disorders
ANS : a), b), c), d)
Rationale : Comprehensive assessments ensure all domains of
mental health are evaluated, including cognition, medication use,
and social factors.
8. Which psychiatric symptoms warrant immediate intervention
in adults across care settings? (Select all that apply)
- a) Acute suicidal ideation
- b) Severe withdrawal symptoms
- c) Mild sadness lasting less than one week
- d) Psychotic features causing harm to self or others
ANS : a), b), d)
©2025
