Which psychiatric disorder would a nurse most likely to expect to see newly diagnosed in a geriatric client?
Phobic disorder
Paranoid personality disorder
Major depressive disorder
Schizophrenia
The Correct Answer is C
A. Phobic disorder: Specific phobias or social anxiety disorders typically develop earlier in life and are less commonly newly diagnosed in older adults. Late-onset phobic disorders are relatively rare in the geriatric population.
B. Paranoid personality disorder: Personality disorders are usually identified in adolescence or early adulthood. New diagnoses in older adults are uncommon because personality patterns are long-standing. Late-life onset is atypical.
C. Major depressive disorder: Depression can develop at any age, including in older adults, often triggered by medical illnesses, social isolation, bereavement, or life transitions. Late-onset major depressive disorder is common in the geriatric population and may present with somatic complaints, cognitive changes, and mood symptoms.
D. Schizophrenia: Schizophrenia typically presents in late adolescence or early adulthood. Onset in older adults is uncommon, and new psychotic symptoms in the elderly are more often related to
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Involve family in treatment: Family involvement helps address relational stressors and improves communication and support systems. Education and collaboration with caregivers can reduce triggers for self-harm and reinforce healthy coping strategies. Inclusion is guided by safety, consent, and therapeutic goals.
B. Encourage secrecy to maintain trust: Encouraging secrecy can increase risk by limiting safety planning and preventing appropriate monitoring. Nursing care emphasizes transparency, safety, and appropriate information sharing when self-harm is present. Trust is built through honest communication and protective collaboration.
C. Refer for dialectical behavior therapy (DBT): DBT is an evidence-based approach for adolescents who engage in self-injury. It focuses on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. Referral supports development of safer coping skills.
D. Teach alternative coping strategies: Teaching skills such as grounding, journaling, sensory modulation, or reaching out for support provides practical alternatives to self-harm. These strategies target emotional regulation and reduce reliance on injurious behaviors.
Correct Answer is C
Explanation
A. The number of episodes of purges, or inappropriate compensatory behaviors, per week: Compensatory behaviors like vomiting, laxative use, or excessive exercise are important for clinical assessment but do not determine DSM-5 severity specifiers for bulimia nervosa.
B. Both the number of binge-eating episodes and purge behaviors per week: Severity in bulimia nervosa is based on binge-eating frequency alone; compensatory behaviors are monitored separately and do not factor into DSM-5 severity classification.
C. The number of binge-eating episodes per week: DSM-5 categorizes bulimia nervosa severity (mild, moderate, severe, extreme) according to the average number of binge-eating episodes per week. This standardization helps guide treatment planning and track disorder progression.
D. The client’s BMI: Body mass index is used to assess severity in anorexia nervosa, not bulimia nervosa, because individuals with bulimia may have normal or fluctuating weight despite engaging in binge-purge behaviors.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.