Chapter 37, Older Adult Clients Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

Which of the following statements from a married older man who is to retire in 2 weeks would alert the nurse to possible future problems?
a. "She's going to do some volunteer work while I help out with household chores."
b. "We're going to travel all year long to all sorts of foreign and exotic places."
c. "I'm finally going to learn how to play golf like I've wanted all these years."
d. "I have a good pension, but we're planning a budget so we don't overspend."

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Problem 2

An 80-year-old woman who wears a hearing aid in her left ear is being admitted to an extended care facility. When obtaining the client's history, which of the following would be most appropriate for the nurse to do?
a. Keep the television on to provide stimulation during the interview.
b. Hug the client as part of the introduction and greeting.
c. Speak calmly but loudly, directing the voice to the client's left ear.
d. Ask one question at a time, allowing the client ample time to answer.

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Problem 3

Which of the following older adults would the nurse assess as being at greatest risk for mental health problems?
a. A 72-year-old man with severe degenerative joint disease who is recently widowed and lives alone
b. A 67-year-old man who lives with his daughter and volunteers twice a week at a community center
c. A 70-year-old woman who lives with her 72-year-old husband in an assisted-living community
d. A 68-year-old woman with a history of osteoporosis who lives with her 74-year-old spouse and works part time

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Problem 4

The nurse is completing an assessment of an 84-year-old client with Alzheimer's disease. Which of the following statements by the client's son would alert the nurse to a potential problem?
a. "He has a night-light in his bedroom, and there's one in the hallway on the way to the bathroom."
b. "We make sure that somebody is in the house with him at all times, day or night."
c. "He's been having trouble sleeping over the past week or so, so we're giving him Benadryl."
d. "I've been giving him a liquid nutritional supplement because he's such a poor eater."

Asma Venkitta

Numerade Educator

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Problem 5

A recently widowed 73-year-old woman with a history of hypertension and diabetes has just moved to an assisted-living facility. During a follow-up nursing assessment, the client states, “I can't eat. I can't sleep. I get up so early in the morning. I don't know how much longer I can live like this." Further assessment reveals that she has not been taking her antihypertensive medications. Which of the following would the nurse identify as a priority need for this client?
a. Lack of medication compliance
b. Difficulty sleeping
c. Inadequate nutrition
d. Feelings of loss

Asma Venkitta

Numerade Educator