Chapter 16: Psychological Disorders Flashcards
The prevalence of depression in nursing home residents is ____ greater than adults living in the community.
3-4 times
The majority of depressed older adults remain untreated because of:
All of the above
Symptoms of depression distinct to the elderly include:
Lack of emotions
The justification for ordering a CBC, TSH, and serum B12 for a patient you suspect may have clinical depression is:
Because of overlapping symptoms with anemia, thyroid dysfunction, and nutritional deficiencies
One major difference that is useful in the differential diagnosis of dementia versus delirium is that:
Dementia develops slowly and delirium develops quickly
Which of the following is the most appropriate screening tool for delirium?
Confusion Assessment Method
The proposed mechanism by which diphenhydramine causes delirium is:
Anticholinergic effects
The elderly are at high risk for delirium because of:
All of the above
A consistent finding in delirium, regardless of cause, is:
Reduction in regional cerebral perfusion
Older adults with dementia sometimes suffer from agnosia, which is defined as the inability to:
Recognize objects
In late stages of dementia, a phenomenon called “sun downing” occurs, in which cognitive disturbances tend to:
Become worse toward the evening
Of the following, which one is the most useful clinical evaluation tool to assist in the diagnosis of dementia?
St. Louis University Mental Status Exam (SLUMS)
The cornerstone of pharmacotherapy in treating Alzheimer’s disease is:
Cholinesterase inhibitors
The comorbid psychiatric problem with the highest frequency in dementia is:
Anxiety
When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed?
Amitriptyline
