Question 1

Which of the following therapies is especially effective with older adults?

Accepted Answer

Cognitive behavioral therapy has been found to be effective in treating a variety of mental health issues in older adults, including depression, anxiety, and insomnia. It focuses on identifying and changing negative thought patterns and behaviors, which can lead to improvements in overall well-being and functioning. Medication and ECT may also be effective for certain conditions, but they come with potential side effects and should be used in conjunction with therapy. Psychoanalysis is typically a longer-term form of therapy that may not be as practical or effective for older adults who may have shorter life expectancies or more immediate mental health needs.

Question 2

The most common form of dementia is

Accepted Answer

Alzheimer's disease is the most common form of dementia, accounting for approximately 60-80% of cases. Creutzfeld-Jakob disease and Pick's disease are much rarer forms of dementia, while Parkinson's disease can lead to dementia but is not considered a primary form of dementia.

Question 3

Dr. Neytiri Icu is using a therapy for her clients that focuses on getting her clients to increase the good things that happen to them by assigning tasks that force her clients to get out more, meet people, and join new clubs. Dr. Icu is using which approach to therapy?

Accepted Answer

Dr. Icu's approach focuses on changing behavior through task assignments to increase positive experiences, which aligns with the principles of behavioral therapy.

Question 4

Many older adults admitted to the hospital for depressive symptoms turn out to have previously undiagnosed

Accepted Answer

Many physical illnesses and medical conditions can cause or contribute to depressive symptoms, particularly in older adults. Therefore, it is important to thoroughly assess and evaluate them to identify any underlying medical problems that may be contributing to their condition. Anxiety disorders, schizophrenia, and substance abuse may also be present in some cases, but medical evaluation should always be considered as a first step.

Question 5

Using the developmental forces perspective, an older adult who is vague in answering questions because his generation was socialized not to disclose one's inner self to strangers is an example of

Accepted Answer

The answer of Using the developmental forces perspective, an older...

Question 6

Substantial research evidence supports the idea that major depressive disorder is linked to several physiological and genetic causes including

Accepted Answer

Imbalance in neurotransmitters, specifically serotonin, dopamine, and norepinephrine, have been found to be associated with major depressive disorder.

Question 7

The drug(s) used to treat depression that may produce dangerous interactions with food, such as cheddar cheese, is/are

Accepted Answer

MAO inhibitors can produce dangerous interactions with certain foods, such as cheddar cheese, due to their ability to inhibit the breakdown of tyramine, which can lead to a spike in blood pressure. This can result in a hypertensive crisis, which can be life-threatening.

Question 8

Most patients with dementia are cared for

Accepted Answer

According to research, the majority of patients with dementia are cared for at home by family members. This is because family members often provide the best quality of care and can help maintain the patient's overall quality of life. Nursing homes and adult care homes may also be options for dementia care, but they are typically used when the patient's care needs exceed what can be provided in a home setting.

Question 9

Older adults are at increased risk for abusing alcohol if they simply continue their alcohol habits from earlier points in their lives. This is because, with age, we

Accepted Answer

The answer of Older adults are at increased risk for...

Question 10

A type of therapy that emphasizes changing maladaptive beliefs and thoughts is

Accepted Answer

Cognitive therapy specifically focuses on changing maladaptive beliefs and thoughts. Psychoanalytic therapy focuses on uncovering unconscious conflicts and emotions, while behavioral therapy focuses on changing behavior through reinforcement or punishment. Drug therapy involves the use of medication to treat mental health conditions.

Question 11

Which of the following statements is false?

Accepted Answer

The answer of Which of the following statements is false?
...

Question 12

The positive approach to geriatric psychiatry focuses on all of the following except

Accepted Answer

The positive approach to geriatric psychiatry emphasizes recovery, neuroplasticity, and prevention, but it does not prioritize efficiency. Instead, the focus is on providing the best possible care for older adults with mental health concerns.

Question 13

Which of the following is not a recommendation that a caregiver of a dementia patient should consider?

Accepted Answer

Institutionalizing a patient with dementia should not be the first recommendation, as it can cause distress for both the patient and the caregiver. Other options such as in-home care or adult day care should be explored first. Therefore, option A is not a recommended approach. Options B, C, and D are all important recommendations for caregivers of dementia patients.

Question 14

Withdrawing, not speaking to others, confining oneself to one's bed, and not taking care of bodily functions is more common in __________ who are depressed.

Accepted Answer

Older adults who are depressed are more likely to exhibit symptoms such as withdrawing, not speaking to others, confining themselves to their bed, and neglecting personal care, compared to younger adults, men, or women. This pattern of behavior is often associated with depression in the elderly, who may not exhibit the classic signs of sadness or crying that are more commonly associated with depression in younger individuals.

Question 15

Differences in prevalence rates of mental disorders across racial and ethnic groups are grounded in which two factors?

Accepted Answer

Prevalence rates of mental disorders are often higher among racial and ethnic minorities due to a combination of poverty and social disadvantage. These groups tend to experience disproportionately high levels of stress, discrimination, and limited access to quality healthcare, all of which can contribute to the development of mental health issues.

Question 16

Which of the following is not a symptom of anxiety?

Accepted Answer

Dysphoria is actually a symptom of depression, not anxiety. Symptoms of anxiety typically include physical symptoms such as a dry mouth, dizziness, and hyperventilation, as well as psychological symptoms such as excessive worry and fearfulness.

Question 17

As noted in Chapter 1, without the psychometric properties of __________ and __________, we cannot rely on assessment methods to provide good quality information.

Accepted Answer

Reliability refers to the consistency and stability of assessment results over time and across different circumstances. Validity refers to the extent to which an assessment accurately measures what it is intended to measure. Without both reliability and validity, assessment methods cannot provide trustworthy information about an individual's abilities, characteristics, or behaviors.

Question 18

Using which behavioral technique can caregivers reduce difficult behaviors of Alzheimer's patients?

Accepted Answer

Differential reinforcement of incompatible behavior involves reinforcing a behavior that is incompatible with the difficult behavior, thereby reducing the occurrence of the difficult behavior. This technique is commonly used in behavior management of Alzheimer's patients to reduce difficult behaviors such as agitation, aggression, and wandering. Milieu therapy, spaced reinforcement and cognitive retraining may be useful in other contexts but are not specifically designed to manage difficult behaviors in Alzheimer's patients.

Question 19

Which of the following is in the correct order, from highest to lowest, regarding lifetime prevalence of major depressive disorder among these groups?

Accepted Answer

European Americans generally have the highest lifetime prevalence of major depressive disorder, followed by Caribbean Blacks, and then African Americans.

Question 20

To date, the most effective interventions for Alzheimer's disease are

Accepted Answer

The answer of To date, the most effective interventions for...

Quiz 10: Clinical Assessment, Mental Health, and Mental Disorders