A young adult moves to a new town and is unable to establish relationships because of geographical distance to other towns and a sparsely populated community. This young adult is at greatest risk for which of the following?

Mental illness

Social isolation

substance abuse

Depression

Answer and Explanation

The Correct Answer is B

A: While mental illness could be a risk, social isolation is a more direct and immediate risk given the scenario.
B: Geographical and population factors contributing to a lack of social interaction directly suggest social isolation.
C: Substance abuse might develop as a coping mechanism but is not the most immediate risk.
D: Depression could be a consequence of social isolation, but the primary risk here is the isolation itself.

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Correct Answer is A

Explanation

A: SSRIs are often the first-line treatment for depression in older adults due to a favorable side effect profile compared to other antidepressants.
B: Benzodiazepines are not typically used as they can increase the risk of falls and confusion.
C: Hypnotics are used for sleep issues but are not antidepressants.

D: Monoamine oxidase inhibitors are effective but often reserved for cases where other treatments have failed due to their dietary restrictions and side effects.

A. Notify the charge nurse of the need for evaluation of the client's level of competence. B. Ask the client to express her reasons for refusing the morning medications and document the event. C. Crush the pills, if not contraindicated, and hide them the client's in applesauce. D. Try to talk the client into adherence by telling her the possible implications of missing a dose.

Correct Answer is B

Explanation

A: While assessing competence might eventually be necessary, it should come after understanding the client's reasons for refusal.
B: This action respects the client’s autonomy and provides insights into her thinking or possible misconceptions that can be addressed.
C: Crushing pills without consent and hiding them in food is unethical and could be dangerous, as some medications are not meant to be crushed.
D: Trying to convince the client might be seen as coercive. Understanding her reasons first is a more patient-centered approach.

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A young adult moves to a new town and is unable to establish relationships because of geographical distance to other towns and a sparsely populated community. This young adult is at greatest risk for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult is given the diagnosis of depression and is started on medication. Which group of medications would be appropriate for the depressed older adult?

Correct Answer is A

Explanation

A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?

Correct Answer is B

Explanation

An elderly client with severe cardiovascular disease is given the diagnosis of dementia. Which type of dementia does the client most likely have?

A client with Alzheimer's disease has difficulty with bathing and dressing activities. This is an example of which type of loss?

A client is given the diagnosis of generalized anxiety disorder and is prescribed a benzodiazepine. The client should be instructed on which of the following?

Which of the following is a physical clinical finding of depression in older adults?

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

Which therapeutic intervention would the nurse include in a care plan for a client with Alzheimer's disease?