TEST BANK: CARING FOR OLDER ADULTS
HOLISTICALLY 7TH EDITION BY DAHLKEMPER -
CH. 1-21, 9780803689923, WITH RATIONALES
Is depression a normal part of aging? - (ANSWER)No
What is the 4th leading cause of disease burden globally? - (ANSWER)Depression
What percent of adults 65 and older are diagnosed with major depressive disorder? -
(ANSWER)1 - 2%
What percent of adults 65 and older have significant depressive symptoms that do not meet the
criteria for major depressive disorder? - (ANSWER)25%
Symptoms that don't meet the criteria for major depressive disorder have been referred to as -
(ANSWER)-Minor Depression
-Subsyndromal Depression
-Dysthymic Depression
-Mild Depression
Persistant Depressive Disorder - (ANSWER)Depressive symptoms that last more than 2 years
Rates of Depression are higher in older adults who experience: - (ANSWER)-Physical Illness
-Cognitive Impairment
-Reside in Institutional Setting
What percent of ALL nursing home residents receive antidepressants? - (ANSWER)14%
,Depression is a major reason why older people are - (ANSWER)admitted to nursing homes
Depression and Depressive Symptomatology are associated with negative consequences such as
- (ANSWER)-Delayed recovery from illness & surgery
-Excess use of health services
-Cognitive impairment
-Exacerbation of coexisting medical illnesses
-Malnutrition
-Decreased quality of life
-Increased suicide & non-suicide related death
Nonpharmacological Treatment of Depression - (ANSWER)-Family & Social Support
-Education
-Grief Management
-Exercise
-Humor
-Spirituality
-CBT
-Psychodynamic Therapy
-Interpersonal Therapy
-Reminicence
-Life Review Therapy
-Problem Solving Therapy
-Complementary Therapy (Tai chi)
-Increase engagement in pleasant activities
Pharmacological Treatment of Depression - (ANSWER)-SSRIs
-SNRIs
-bupropion (Wellbutrin)
,-Trazodone
Misc. Treatment of Depression - (ANSWER)-Electroconvulsive Therapy
-Rapid Trans-cranial Magnetic Stimulation
The goal of depression treatment in older adults are to - (ANSWER)-Decrease symptoms
-Reduce Relapse/Recurrence
-Improve Function/Quality of Life
-Reduce Mortality/Health Care Cost
Risk Factors For Depression - (ANSWER)-Chronic Medical illness/Disability/Functional
Decline
-Alzheimer's / Dementia
-Bereavement
-Caregiving
-Female
-Socioeconomic Deprivation
-Family Hx
-Previous Episode
-Admission to LTC/Change in Environment
-Medications
-Alcohol/Substance Abuse
-Living Alone
-WIDOWHOOD
What group has the highest rate of suicide? - (ANSWER)White Males 85 and older
What group of women have the highest suicide rate? - (ANSWER)Chinese American Women 65
and Older
, Risk Factors for Suicide - (ANSWER)-Male
-Physical Illness
-Functional Impairment
-Depression
-Alcohol/Substance Misuse & Abuse
-Major Loss
-Hx of Major Loss
-Recent Suicide Attempt
-Major Crises/Transition
-Major Crises in Family Members
-Social Isolation
-Preoccupation w/ Death
-Poorly Controlled Pain
-Burden
-Giving Away Favorite Possessions/Money
Suicide Interventions - (ANSWER)-Suicide Protocol
-Never leave person alone for any period of time
-Hospitalize high risk patients
-Moderate Risk: treat as outpatients
-Low Risk: full psychiatric evaluation & follow up
Interventions For Patient's With Hallucinations - (ANSWER)-Reduce Situational Stress
-Be available to the Person
-Safe/Nonjudgemental Environment
-Attending to Fears more than the content of the hallucinations
-Establish trusting relationship
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