NURS 525 Psych Week 9 Test
With Complete Solution
Why is mental illness underestimated in older populations? - ANSWER
because symptoms are sometimes incorrectly attributed to physical
disorders, normal aging, cognitive impairment, and lack of age-appropriate
diagnostic criteria
Mental health in later life depends on... - ANSWER physical and psychological
status, personality, lifestyle, economic resources, social support
Mental health _____ (is/is not) an inevitable part of aging. - ANSWER is not
What is the most common mental illness in the elderly? - ANSWER
depression
Examples of psych disorders later in life - ANSWER -neurocognitive disorders
(NCD)
-delirium
-depression
-schizophrenia
-anxiety disorders
-personality disorders
-sleep disorders
What group of disorders affects 50% of those 65 years and older? - ANSWER
,sleep disorders
What is the most common affective illness among the elderly? - ANSWER
depression
What disorder has a high mortality rate and is the most critical form of
psychopathology in aging? - ANSWER delirium
What group of disorders is the most common cause of psychopathology in
aging? - ANSWER neurocognitive disorders (NCD)
***BOX 33-1 PAGE 747 - ANSWER ***PHYSICAL, PSYCHOLOGICAL, NEGLECT,
FINANCIAL, SEXUAL ABUSE
What consists of the assessment role of the geropsychiatric nurse? - ANSWER
-cognitive functioning (MoCA)
-affect (MSE)
-function, physical, and behavioral status
-family dynamic
What is the goal of nursing interventions for geropsychiatric patients? -
ANSWER to promote maximum independence
What should the evaluation of outcomes be based on for geropsychiatric
nurses? - ANSWER outcomes should be based on the change the individual
patient demonstrates based on their abilities
What are the 4 D's? - ANSWER delirium, dementia, depression, delusions
What is the Montreal Cognitive Assessment (MoCA)? - ANSWER a cognitive
screening test designed to assist health professionals in the detection of mild
cognitive impairment
, *Define delirium - ANSWER -a disturbance in attention and awareness and a
change in cognition that develops rapidly over a short period; brief duration,
high mortality
-an acute confused state
-can be mild to moderate
*can be life-threatening and should always be considered a medical
emergency!
What are the s/s of delirium? - ANSWER -difficulty sustaining and shifting
attention
-distractible
-disorganized thinking
-rambling, irrelevant, pressured, incoherent speech that switches from topic
to topic
-impaired reasoning and goal directed behavior
-disorientation to time and place
-impairment of memory
-sleep wake cycle disturbed
*state of awareness: hypervigilance to stupor or coma
*What are the 2 subtypes of delirium? - ANSWER hyperactive and hypo active
-can also be a mixed form
*S/S of the hyperactive form of delirium - ANSWER restless, agitated, violent
With Complete Solution
Why is mental illness underestimated in older populations? - ANSWER
because symptoms are sometimes incorrectly attributed to physical
disorders, normal aging, cognitive impairment, and lack of age-appropriate
diagnostic criteria
Mental health in later life depends on... - ANSWER physical and psychological
status, personality, lifestyle, economic resources, social support
Mental health _____ (is/is not) an inevitable part of aging. - ANSWER is not
What is the most common mental illness in the elderly? - ANSWER
depression
Examples of psych disorders later in life - ANSWER -neurocognitive disorders
(NCD)
-delirium
-depression
-schizophrenia
-anxiety disorders
-personality disorders
-sleep disorders
What group of disorders affects 50% of those 65 years and older? - ANSWER
,sleep disorders
What is the most common affective illness among the elderly? - ANSWER
depression
What disorder has a high mortality rate and is the most critical form of
psychopathology in aging? - ANSWER delirium
What group of disorders is the most common cause of psychopathology in
aging? - ANSWER neurocognitive disorders (NCD)
***BOX 33-1 PAGE 747 - ANSWER ***PHYSICAL, PSYCHOLOGICAL, NEGLECT,
FINANCIAL, SEXUAL ABUSE
What consists of the assessment role of the geropsychiatric nurse? - ANSWER
-cognitive functioning (MoCA)
-affect (MSE)
-function, physical, and behavioral status
-family dynamic
What is the goal of nursing interventions for geropsychiatric patients? -
ANSWER to promote maximum independence
What should the evaluation of outcomes be based on for geropsychiatric
nurses? - ANSWER outcomes should be based on the change the individual
patient demonstrates based on their abilities
What are the 4 D's? - ANSWER delirium, dementia, depression, delusions
What is the Montreal Cognitive Assessment (MoCA)? - ANSWER a cognitive
screening test designed to assist health professionals in the detection of mild
cognitive impairment
, *Define delirium - ANSWER -a disturbance in attention and awareness and a
change in cognition that develops rapidly over a short period; brief duration,
high mortality
-an acute confused state
-can be mild to moderate
*can be life-threatening and should always be considered a medical
emergency!
What are the s/s of delirium? - ANSWER -difficulty sustaining and shifting
attention
-distractible
-disorganized thinking
-rambling, irrelevant, pressured, incoherent speech that switches from topic
to topic
-impaired reasoning and goal directed behavior
-disorientation to time and place
-impairment of memory
-sleep wake cycle disturbed
*state of awareness: hypervigilance to stupor or coma
*What are the 2 subtypes of delirium? - ANSWER hyperactive and hypo active
-can also be a mixed form
*S/S of the hyperactive form of delirium - ANSWER restless, agitated, violent
