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NCOA Module 6 Chapter 14 Flashcards | StudBud
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NCOA Module 6 Chapter 14
NCOA Module 6 Chapter 14
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1
Which of the following is a sign of spiritual distress?
Participation in prayer groups
Regular attendance at services
Expressions of hopelessness or questioning meaning of life
Asking for a Bible
2
Which factor is NOT a typical barrier to social support services?
Cultural values
Fear of judgment
Financial limitations
Easy access to services
3
Which of the following tools includes a clock drawing component to assess cognitive function?
4AT
Mini-Cog
MMSE
AD8
4
Which of the following may indicate executive dysfunction?
Ability to state full name
Difficulty adapting to new situations
Recalling a phone number from memory
Singing a familiar song
5
Which of the following is a limitation of mental status screening tools?
They require extensive training to administer
They are not used in clinical settings
They may yield inaccurate results due to educational or language difference
They provide a complete evaluation of psychosocial function
6
What should a nurse do when an older adult shares information involving potential abuse?
Discuss it only with the family
Document and refer for further investigation
Ignore it
Assume it's exaggerated
7
What is the primary purpose of assessing executive function in older adults?
To evaluate ability to plan and carry out daily tasks
To determine vision impairment
To identify medication side effects
To assess financial literacy
8
Which physical observation might indicate depression or withdrawal in an older adult?
Rapid speech and waving hands
Steady gait
Upright posture and strong voice
Slouching and looking at the floor
9
Which of the following is most characteristic of dementia-related delusions?
Visual hallucinations without delusions
Themes of theft, abandonment, misidentification
Delusions related to guilt or death
Organized themes of persecution
10
What is an example of informal social support?
Meals on Wheels
Home health nurse
Help from a neighbor
Adult day care center
11
Which of the following is a common barrier to formal service use by older adults?
Too many family members involved
Fear of losing independence
Trust in government programs
Lack of need
12
Which condition commonly presents with vivid and colorful hallucinations?
Delirium
Dementia
Depression
Paranoid Disorder
13
Why might older adults prefer religion-based services?
They are more structured
They may be perceived as more acceptable or deserved
They are always cheaper
They only offer religious advice
14
Which of the following is an example of a nonverbal indicator of anxiety?
Sleeping deeply through the night
Speaking slowly and clearly
Pacing and fidgeting
Smiling during conversations
15
Which is an example of a nonthreatening question to assess an older adult’s adjustment to a living arrangement?
Have you lost your independence?
What were the circumstances of your moving here?
Do you hate living here?
Why did you give up your home?
16
What is a potential reason for lack of insight in an older adult?
High IQ
Depression or cognitive impairment
Good memory
Excessive hydration
17
What is an appropriate nursing question to assess for emotional support?
Do you live alone?
Do you pay your bills on time?
Is there anyone you can talk to about your worries?
What’s your spiritual affiliation?
18
A patient insists their spouse is an impostor. This is an example of:
Hallucination
Delusion
Disorientation
Illusion
19
Which of the following is a helpful way to begin a psychosocial assessment?
'Tell me what medications you take.'
'Your daughter said you forget things. Why is that?'
'I'd like to ask you some questions about how you've been managing at home.
'Let’s get this over with quickly.'
20
What is the most appropriate initial question when assessing affective function?
'Do you cry often?'
'How are you feeling today?'
'Are you anxious?'
'Do you feel depressed?'
21
What is the main purpose of a psychosocial assessment in older adults?
To detect emotional, social, and cognitive changes
To determine surgical needs
To prescribe medication
To replace a physical assessment
22
Which term best reflects the overall goal of psychosocial assessment?
Diagnosis of disease
Confirmation of dementia
Classification of behavioral types
Identification of personal goals for psychosocial wellness
23
What is one advantage of telehealth for older adults?
Replaces in-person care permanently
Requires no internet
Increases access to assessments
Reduces medication needs
24
Which question best assesses judgment in a home safety situation?
How do you spell 'cat'?
Do you remember today’s date?
What is your favorite color?
What would you do if you smelled smoke at night?
25
Which of the following nonverbal behaviors is most likely to convey respect?
Speaking from far across the room
Gently placing a hand on the shoulder
Standing over the patient while speaking
Avoiding eye contact
26
What communication behavior is considered a barrier when interacting with older adults?
Repeating part of an earlier statement
Asking permission to discuss memory
Making eye contact
Minimizing the person's feelings
27
What is the main purpose of the FICA tool?
To evaluate cognitive function
To assess medication safety
To assess spiritual needs
To measure physical function
28
How does depression typically differ from dementia in older adults?
Depression shows persistent sadness not influenced by environment
Depression has fluctuating emotions; dementia is stable
Depression improves with distraction; dementia does not
Depression causes emotional lability; dementia does not
29
What is the first step in the nursing protocol for mental status assessment?
Administer a psychiatric interview
Refer to a neurologist
Conduct a family meeting
Perform a cognitive screening
30
What distinguishes an illusion from a hallucination?
Illusions involve misperception of real stimuli
Hallucinations are based on real stimuli
Hallucinations are always visual
Illusions involve sensory experience with no stimulus
31
Which statement may indicate low self-esteem in an older adult?
'I think I’ll manage just fine.'
'I feel happy with how things are going.'
'You’re wasting your time on me.'
'I’m looking forward to the activities today.'
