A nurse is caring for an older adult client who is experiencing ...

[jman1234]

A nurse is caring for an older adult client who is experiencing grief after the recent loss of a spouse. What is true regarding an older adult's response to grief?
 
  A) Grief in an older adult initially presents differently than in a younger adult.
  B) Older adults may seem to experience the emotional aspects of grief more acutely than younger adults.
  C) Manifestations of grief in older adults are usually less severe than those observed in younger clients.
  D) Manifestations of grief in older adults are usually trust issues, suspecting once close friends and family members of judging their pain or not understanding their emotions.

Question 2

A student nurse is assisting in the care of a client with bipolar disorder. The student nurse researches the disorder further, focusing on the pathophysiology and etiology of the disorder.
 
  Which are true regarding the pathophysiology and etiology of bipolar disorder?
  Select all that apply.
  A) No definitive cause or specific pathophysiology has been identified for bipolar spectrum disorders.
  B) Bipolar disorders, anxiety disorders, and personality disorders share biological susceptibility and inheritance patterns.
  C) Immunological abnormalities may contribute to the pathophysiology of mania and bipolar disorder.
  D) Children of parents with bipolar disorder have an increased risk of developing the disorder.
  E) Stressful life events and an emotionally overinvolved, hostile, and critical communication pattern are factors associated with heritability of the disorder.

[C.mcnichol98]

Answer to Question 1

Answer: B

Older adults may seem to experience the emotional aspects of grief more acutely than younger adults. Grief in an older adult initially presents similarly to that in a younger adult. Manifestations of grief in older adults are usually more profound than those observed in younger clients. Complicated grief in the older adult manifests as trust issues; this is not a normal manifestation of grief in the older client.

Answer to Question 2

Answer: A, C, D, E

Bipolar disorders, schizophrenia, and major depressive disorders share biological susceptibility and inheritance patterns. All other choices are correct.