Question 1

According to Carstensen, older adults are among the most stable and mentally healthy of all age groups despite discomforting ailments, personal loss, retirement, changes in living situations, and limited finances. This has been called:

A) paradox of aging.
B) baby boomer paradox.
C) paradox of well-being.
D) mental health paradox.

paradox of well-being.

Accepted Answer

Even with the phase-of-life challenges people experience in old age, older adults generally feel good about themselves and their situations and show no decline in happiness ratings across the older adult years.

Question 2

Erik Erikson was one of the first developmental psychologists to extend the study of adult development into adulthood and old age. Erikson proposed this as the chief challenge faced by older adults:&#10;A) shame and doubt&#10;B) role confusion&#10;C) stagnation&#10;D) despair

Accepted Answer

During Erikson's eighth stage of life, older adults face Integrity vs. Despair, characterized by reviewing life accomplishments, dealing with loss, and preparing for death.

Question 3

This author discusses the importance of adult developmental tasks and mature and adaptive coping styles essential to aging well:&#10;A) Erik Erickson&#10;B) George Vaillant&#10;C) Shaie and Willis&#10;D) Butler and Blazer

Accepted Answer

In his book Aging Well, Vaillant suggests that making the right choices before age 50 can increase the likelihood of good physical and mental health into the 70s, 80s, and beyond.

Question 4

This term is used to describe the natural response to losing someone important:&#10;A) bereavement&#10;B) mourning&#10;C) grief&#10;D) sadness

Accepted Answer

Grief is the natural response to losing someone important. Bereavement is the state or condition caused by loss through death. Mourning is the way we express our grief. Sadness is one emotion associated with grieving.

Question 5

Your patient, who recently lost her husband, is reported by her daughter to be alternately sobbing and screaming in anger at her deceased spouse. You recognize that the patient is exhibiting signs of which stage of Rando's three-tier process?

A) reengagement
B) avoidance
C) reestablishment
D) confrontation

Accepted Answer

Confrontation is a highly emotional state of intense grief and acutely felt psychological reactions. This second-tier phase is followed by reestablishment which includes a gradual decline in grief and the beginning of reentry to one's life.

Question 6

Medications used for treating agitation in dementia that are not approved by the Food and Drug Administration (FDA) are known as:&#10;A) &#34;off label.&#34;&#10;B) &#34;in secret.&#34;&#10;C) &#34;not endorsed.&#34;&#10;D) &#34;silently backed.&#34;

Accepted Answer

When managing acutely agitated behavior, physicians tend to favor newer atypical drugs such as aripiprazole.

Question 7

This global disorder is characterized by acute onset, disturbed consciousness, impaired cognition, acute confusion, fluctuating levels of consciousness, and an identifiable underlying medical cause:&#10;A) dementia&#10;B) delirium&#10;C) impaired functional status&#10;D) bipolar disorder

Accepted Answer

It is usually reversible but is associated with increased morbidity and mortality, increased hospital costs, and long-term functional and cognitive impairment.

Question 8

The CAGE questionnaire, FRAMES model, and SMAST-G are recommended for use among older adults to screen for:&#10;A) dementia.&#10;B) drug abuse.&#10;C) alcoholism.&#10;D) depression.

Accepted Answer

The goal of screening is to identify an "at-risk" individual drinking at levels linked with negative outcomes for physical and mental health problems.

Question 9

A person suffering from this may experience flashbacks, nightmares, or hyperarousal:&#10;A) dementia&#10;B) posttraumatic stress disorder (PTSD)&#10;C) delirium&#10;D) impaired functional status

Accepted Answer

Anyone can get PTSD, and symptoms can develop immediately after the traumatic event or years later.

Question 10

The BATHE tool is used to:&#10;A) diagnose mental illness.&#10;B) assess if a patient has posttraumatic stress disorder.&#10;C) enhance communication about psychosocial issues.&#10;D) diagnose adults with comorbid health and mental health conditions.

Accepted Answer

Health care for older adults requires a broad perspective with equal weight given to the psychosocial aspects and to the medical issues that may present.

Question 11

According to the Administration on Aging, mental illness rates in older adults range from:&#10;A)15% to 20%.&#10;B)15% to 25%.&#10;C)10% to 15%.&#10;D)10% to 20%.

Accepted Answer

The answer of According to the Administration on Aging, mental...

Question 12

This is the most prevalent substance abuse issue among older adults:&#10;A) tobacco&#10;B) over the counter medication&#10;C) pain medication&#10;D) alcohol

Accepted Answer

The answer of This is the most prevalent substance abuse...

Deck 22: Challenges to Mental Wellness