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 D

Explanation

A. Family conflict: Family conflict can contribute to suicidal ideation, but the presence of an active psychiatric disorder is a more direct risk factor.

B. Homosexuality: Sexual orientation itself is not a risk factor for suicide, but discrimination and lack of acceptance related to sexual orientation can contribute to risk.

C. Availability of firearms: Access to firearms increases the lethality of suicide attempts but is not as significant as the presence of an active psychiatric disorder.

D. Active psychiatric disorder: This is the correct answer. Conditions such as depression, bipolar disorder, and substance use disorders significantly increase the risk of suicide in adolescents.

A. Evaluate liver function B. Check for blood glucose levels C. Assess for signs of infection D. Monitor for electrolyte alterations

Correct Answer is D

Explanation

A. Evaluate liver function: Although liver function tests can be important, they are not the immediate priority in anorexia nervosa unless there is a specific indication of liver disease or failure. Liver function abnormalities might occur in advanced cases due to malnutrition, but electrolyte imbalances are more immediately life-threatening.

B. Check for blood glucose levels: Blood glucose levels are important, but severe electrolyte imbalances, such as hypokalemia, pose a more immediate risk and require urgent attention to prevent cardiac and neurological complications.

C. Assess for signs of infection: While important, infection is not typically a primary concern in the initial assessment of someone with anorexia unless there are specific signs or symptoms indicating infection.

D. Monitor for electrolyte alterations: Electrolyte imbalances, such as hypokalemia (low potassium) and hypocalcemia (low calcium), can be life-threatening and are common in individuals with anorexia due to malnutrition, vomiting, or use of laxatives. These imbalances can lead to cardiac arrhythmias and other serious complications, making this the priority.

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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

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Correct Answer is D

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