Chapter 11

Question 1

What are some specific concerns for older adults with depression?

Answer 1

it may appear as cognitive impairment

Question 2

Concerns with diagnosing older people with anxiety?

Answer 2

may present or coexist with medical symptoms

Question 3

concerns with schizophrenia in older adults

Answer 3

risk of suicide is higher among this population

Question 4

Neurocognitive issues may be misdiagnosed as?

Answer 4

dementia

Question 5

substance use disorder

Answer 5

older adults are often more at risk then at first thought

Question 6

What disorder has higher rates among people aged 59-

Answer 6

major depressive disorder

Question 7

What are some possible errors in diagnosing an older adult with major depressive disorder?

Answer 7

health care pros may not be trained in dealing with older adults. inaccurate report of symptoms. not enough time spent with patient. stigma. medical and psychological symptoms co-occur.

Question 8

what are some possible causes of depression in older adults?

Answer 8

living alone, loss of a loved one, SES stress, illness, surgery, medications, life changes.

Question 9

Five Item Geriatric depression scale possible ISSUES

Answer 9

Yes/ No questions. bias towards extroversion. confusing/ leading questions.

Question 10

Medical factors presenting risk factors for mental health issues and why

Answer 10

arthritis, hip fracture, diabetes, hypertension, tooth loss, lack of vit D.

lack of ability to preform physical tasks, reduced exercise, social stigma, lack of desire to have social interaction.

Question 11

Risk factors for suicide?

Answer 11

mental illness, marital breakdown, financial hardship, physical health issues, major loss, and lack of social support.

Question 12

why are rates of anxiety disorders lower among older adults?

Answer 12

may be more resilient, health care pros may not recognize symptoms as anxiety, medical symptoms often coexist.

Question 13

What are some characteristics of LOSS (Late-onset Stress Symptomology)?

Answer 13

observed in vets who were exposed to stressful situations at a young age, presents in older adulthood. similar to PTSD

Question 14

Possible issues with schizophrenia in older adults?

Answer 14

most symptoms overlap with dementia leading to a possible misdiagnosis.

Question 15

prescription drug abuse

Answer 15

yup, could be intentional or unintentional

Question 16

issues with alcohol abuse

Answer 16

interaction with meds, kidneys and brain alteration, higher risk for diseases

Question 17

How should mental health assessments be catered towards older patients?

Answer 17

account for sensory, motor and cognitive limitations. greater time should be allowed.

Question 18

what are some assessment measures used with older adults? (4)

Answer 18

Clinical interview, Mental status exam, specific symptom measurement, functional abilities

Question 19

What are some elements of a Comprehensive Geriatric Assessment?

Answer 19

Mental Health, with emphasis on detecting dementia and depression.
SES, availability of caregivers and quality of life assessment
Physical Health, fall risk, medication use.
Functional Status, activities of daily living, Instrumental ADL
Environmental, stairs, access, transport

Question 20

how could an individual who has lost a loved one be affected by hording disorder?

Answer 20

strong sentimental attachment to the possessions of the loved one. may hoard animals as a sense of social connection. may want to keep the house as it was when they died