A nurse has been moved to an older adult Mental Health Unit for her shift. Which factor is most associated with mental health in older adults?

Physical activity level

Financial status

Social isolation

Dietary habits

Answer and Explanation

The Correct Answer is C

A. Physical activity level: Physical activity is important for overall health and can have positive effects on mental health by reducing the risk of depression and cognitive decline. However, while it is a significant factor, it is not the most strongly associated factor with mental health in older adults compared to social isolation.

B. Financial status: Financial stability can impact access to healthcare and overall quality of life, but it is not the primary factor influencing mental health. While financial stress can contribute to mental health issues, social factors tend to have a more direct and profound impact.

C. Social isolation: Social isolation is a major risk factor for mental health problems in older adults, including depression, anxiety, and cognitive decline. Lack of social interaction can lead to feelings of loneliness and increase the risk of mental health disorders, making it the most critical factor to consider. This choice is correct.

D. Dietary habits: Good nutrition is essential for maintaining physical and mental health, and poor dietary habits can contribute to various health issues. However, social isolation has a more direct impact on mental health outcomes in older adults compared to diet alone.

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Correct Answer is B

Explanation

A. Rotate staff to prevent caregiver role strain: Consistency in caregivers is crucial for dementia patients to minimize confusion and anxiety. Frequent changes in caregivers can be unsettling for them.

B. Limit the client's choices for daily activities: Simplifying choices helps to reduce decision-making pressure and confusion, which can be beneficial for dementia patients.

C. Provide a cognitively stimulating environment: While cognitive stimulation is beneficial, it must be balanced with the need for a calm, non-overstimulating environment to avoid overwhelming the patient.

D. Use confrontation to manage negative behavior: Confrontation is generally not effective and can increase agitation and confusion in dementia patients. Non-confrontational approaches are preferred.

A. "Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease." B. "Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease." C. "Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease." D. "Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."

Correct Answer is C

Explanation

A. "Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This statement is partially correct. Donepezil inhibits the breakdown of acetylcholine rather than encouraging its production. However, it correctly states that it delays the progression of Alzheimer's disease.

B. "Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is incorrect because Alzheimer's disease primarily involves acetylcholine, not dopamine.

C. "Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is the correct statement. Donepezil is a cholinesterase inhibitor that helps maintain acetylcholine levels in the brain, which is important for memory and cognitive function. It does not cure Alzheimer's disease but can slow its progression.

D. "Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This is incorrect because donepezil does not affect dopamine levels significantly in the context of Alzheimer's disease.

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A nurse has been moved to an older adult Mental Health Unit for her shift. Which factor is most associated with mental health in older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nursing instructor is teaching about donepezil (Aricept). A student asks, "How does this work? Will this cure Alzheimer's disease (AD)?" Which appropriate statement will the instructor make?

Correct Answer is C

Explanation

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