Deck 7: Mental Health and Mental Disorders

Question 1

The National Institute of Mental Health estimates that _____________ adults age 55 and older suffer from a diagnosable mental disorder in a given year.

A) one in twelve
B) one in eight
C) one in five
D) one in three
E) one half

Answer 1

one in five

Question 2

The strongest risk factor for dementia is:

A) age
B) gender
C) chromosomal abnormality
D) race
E) intelligence

Answer 2

age

Question 3

It is estimated that _____________ elders have some degree of dementia

A) almost 500,000
B) more than 1 million
C) almost 2 million
D) close to 3 million
E) more than 4 million

Answer 3

more than 4 million

Question 4

Which of the following statements regarding dementia is false?

A) dementia is caused by hardening of the arteries of the brain
B) memory impairment and inappropriate emotional response are common symptoms
C) dementia is irreversible
D) dementia shortens life expectancy
E) more than one of the above is false

Question 5

Which of the following statements concerning delirium is false?

A) abrupt onset
B) often reversible
C) may be caused by infection
D) mimics dementia
E) all of the above are true

Question 6

Which disease is characterized by brain lesions, such as neurofibrillary tangles and senile plaques?

A) Parkinson's disease
B) tardive dyskinesia
C) delirium
D) Alzheimer's disease
E) none of the above

Question 7

Which of the following mental disorders increase with advancing age?

A) bipolar disorder
B) schizophrenia
C) anxiety
D) cognitive impairment
E) more than one of the above

Question 8

The CAGE instrument is used to determine

A) alcoholism
B) anxiety
C) Alzheimer's disease
D) depression
E) delirium

Question 9

What group listed below has the highest rate of suicide in the United States?

A) white males age 17-24
B) black males age 17-24
C) white males over age 65
D) black males over age 65
E) white females age 40-60

Question 10

What is the most effective treatment for minor depression?

A) drugs
B) electroconvulsive therapy
C) psychotherapy
D) all of the above
E) a and c only

Question 11

Which of the following is true regarding elders and sleep?

A) elders report fewer sleep complaints than middle-aged adults
B) most elders do not seek medical care for insomnia
C) sleep patterns change in the later years
D) all of the above
E) b and c only

Question 12

Which of the following cognitive traits decline with age?

A) memory loss of recent events
B) ability to reason
C) ability to solve problems
D) all of the above
E) a and b

Question 13

Electroconvulsive therapy is a treatment for

A) schizophrenia
B) bipolar disorder
C) anxiety
D) agoraphobia
E) major depression

Question 14

Which of the following mental disorders is considered a psychotic disorder?

A) delirium
B) obsessive compulsive disorder
C) schizophrenia
D) none of the above
E) more than one of the above

Question 15

The prevalence of severe cognitive impairment decreases with age.

Question 16

Alcohol use increases with age.

Question 17

Nicotine dependence is a mental disorder.

Question 18

Restless leg syndrome is a form of anxiety.

Question 19

Personality characteristics are consistent through adulthood.

Question 20

Elders report more sleep problems than any other age group.

Question 21

Dementia is the most common psychological disorder among older people.

Question 22

Men are more likely to be diagnosed with depression than women.

Question 23

Many specialized services have been implemented in the past few years to assist elders who are at risk of suicide.

Question 24

Most elders with dementia are cared for in institutional settings.

Question 25

Shock therapy is no longer used as it is both unethical and ineffective.

Question 26

Elders comprise about one-third of the patient load in community mental health services.

Question 27

What constitutes mental health varies throughout the life cycle and among cultures.

Question 28

Elders are more likely to be anxious and depressed than the younger population.

Question 29

A higher proportion of elders are heavy drinkers than younger age groups.

Question 30

There is currently no way to treat Alzheimer's disease, but some drugs are used to reduce its symptoms.

Question 31

Delirium is a temporary mental condition.

Question 32

The most common place for mentally ill elders needing care and supervision is the nursing home.

Question 33

Studies confirm that some memory loss is a normal part of growing older.

Question 34

In general, studies using standardized tests show that older people decline in intelligence with advancing age.

Question 35

Changes in personality are part of the aging process.

Question 36

Vocabulary generally improves with age as does the ability to reason and solve problems.

Question 37

Gingko biloba extract has been scientifically proven to improve memory.

Question 38

Antidepressants are effective in treating the symptoms of anxiety.

Question 39

Tardive dyskinesia is a long-term side effect of antidepressants.

Question 40

A federal law requires monthly visits by physicians to residents of nursing homes and close monitoring of antipsychotic drug use.

Question 41

The majority of elders in public mental institutions have Alzheimer's disease.

Question 42

It is against federal law to hold an adult in a hospital against his or her will.

Question 43

A collection of individual traits, qualities and attributes which are consistent over time and across situations ____________.

Question 44

Emotional depression of a moderate intensity ____________.

Question 45

A type of structured relationship between a client and a professional with the goal of improving the client's mental health ____________.

Question 46

The inability to distinguish what is real from what is not real ____________.

Question 47

Techniques to help with memory ____________

Question 48

Attacks of anxiety, rapid heart rate, breathlessness and feeling of doom ____________.

Question 49

The inability to achieve and sustain restful sleep ____________.

Question 50

The most common type of dementia ____________.

Question 51

A physician who specializes in treating mental disorders _____________

Question 52

Services that provide trained individuals to help mentally ill individuals navigate the mental health system ____________.

Question 53

The largest payer of mental health services ____________.

Question 54

List traits of a mentally healthy elder. How do they compare with the traits of a mentally healthy young adult?

Question 55

Describe how financial situation might affect an elder's mental health status.

Question 56

Discuss the strategies to accurately assess and treat sleep disorders in elders.

Question 57

How does alcoholism manifest itself in elders? Why is it underdiagnosed? What are some consequences of alcoholism in the later years?

Question 58

Distinguish alcohol dependence from alcohol abuse.

Question 59

Why do women and older people have a lower tolerance for alcohol?

Question 60

List the types of mental health services available to mentally ill elders.

Question 61

Describe the type of therapy thought to be most effective for older people.

Question 62

What is DSM-IV and why is it useful?

Question 63

What symptoms must be present to meet the criteria for major depression?

Question 64

How do antidepressant medications work?

Question 65

What types of treatments/programs are available to help individuals to quit smoking?

Question 66

What is the most common reason for sleep apnea and what treatments are available?

Question 67

Discuss the physiological, psychological and social correlates of Alzheimer's disease, including the effect upon the caregiver.

Question 68

Discuss at least three types of mental health services used by elders and critique their effectiveness for that group.

Question 69

Discuss client, therapist and system biases that contribute to low utilization of mental health services by elders.
Discuss three common transitions of later life and the impact of each on the elder and family.

Question 70

Discuss nicotine dependence as a mental disorder and the role of the physician. Also describe the resources available to individuals who want to quit smoking.

Question 71

Differentiate dementia from delirium. Include causes, symptoms, and treatment of each.

Question 72

Describe the symptoms of anxiety and the common treatments.

Question 73

Both Medicare and Medicaid are sources of payment for mental health services. Discuss the advantages and drawbacks of nursing homes for mentally ill elders.

Question 74

Discuss which services are reimbursed for each of these sources.

Question 75

Give a historical perspective on advocacy efforts for the mentally ill in the U.S.

Question 76

Discuss the two main types of dementia, their symptoms, and their progression.

Question 77

Discuss the results of studies regarding cognition and also the limitations regarding the measurement of cognitive function.

Question 78

Many of the transitions of later life are characterized by loss. Discuss five common losses in the later years and give examples of each. In contrast, what are the benefits of old age?

Question 79

List and discuss five factors that affect adjustment in the later years.