T3: Mental Health (CH. 29) Flashcards
Mental health indicates a capacity to cope effectively with and manage life stressors in an effort to achieve ___ ___.
emotional homeostasis
Need to promote mental __, detect problems __, and minimize the impact of existing __ problems.
health
early
psychiatric
T/F: The rate of completed suicide among older persons is the lowest of any age group in the United States.
False
Mental health implies satisfaction and ___ in life
interest
There is no single ___ for mental health.
profile
There is a need to maintain satisfying interests and ___.
activities
Promoting mental health: Opportunities to sense value as a member of society and have self-worth __.
reinforced
Assess symptoms as they may be “__” reactions to life circumstances
normal
Problems that older adults confront that may challenge emotional ___
homeostasis
Address the __ of the problem rather than effects/symptoms alone
cause
Most frequent psychiatric problem treated in older adults
depression
T/F: Major depression declines with age, but minor depression increases with age.
true
Signs and symptoms of depression:
Self-deprecation, guilt, apathy, remorse, hopelessness, helplessness, feelings of being a burden, changes in sleep and psychomotor activity, vegetative symptoms, problems with relationships,.
Altered cognition when dealing with depression can mimic __.
dementia
Assess relationship of life events and/or serious or ___ illness with depression.
terminal
Their is a real and serious risk of __ with depression.
suicide
Suicide gestures:
2
Medication misuse
Self-starvation
The consumption of caffeine, alcohol, nicotine, and over-the-counter drugs should be reviewed for possible causes of __.
anxiety
Often a problem that goes unnoticed in the older adult
substance abuse
There is a potential for ___ __ __ when it comes to substance abuse.
adverse drug reactions (ADR’S)
Substance abuse leads to:
4
Increases risk for falls, decreased cognition, abuse, and self-neglect
There is no specific profile for __.
alcoholics
Drink a fifth of whiskey a day or its equivalent in wine or beer (for a 180-lb person) is the ___ for diagnosing alcoholism.
criteria
Blood alcohol level greater than ____ is a sign of alcoholism.
150mg/100mL
Continued drinking despite medical advice or problems caused by drinking is a sign of ___.
alcoholism
Long-term goal of substance abuse is ___.
sobriety
Patient must first ____ to become sober.
acknowledge the problem and take responsibility
Alcoholism treatment programs for older adults are __.
rare
What is true related to alcoholism and the older adult?
There is a decreased incidence of alcoholism with age
There is a frequency occurrence of ___ in older adults
paranoia
There is a need to explore mechanisms to reduce insecurity and ___.
misperception
What are some nursing considerations for mental health conditions?
- monitor medication
- promote a positive self-concept
- manage behavioral problems
People need to feel their lives have had meaning and that there is __
hope
Promoting a positive self-concept: Take interest in the lives and ___ of the older adult
accomplishments
Life review, oral histories, and scrapbook of life events may assist in the sense of __.
worth
Ensure engagement in meaningful social ___ that allow opportunities to “do for” others
interactions
Behavior problems occur in persons with altered cognitive status who are incapable of thinking rationally, making good judgements, and __.
coping
First step is assessing the __ of the behavior.
cause
T/F: The first nursing intervention necessary to address problem behaviors in the older adult population is assessment.
true
