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In the disorder known as _______________, individuals continually collect objects that they don't need, are unable to throw out those objects, and may clutter up their homes to the point of being almost unlivable.


A) agoraphobia bia
B) schizophrenia
C) psychopathy
D) hoarding

E) All of the above
F) A) and B)

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Which of the following would be considered a "positive" symptom among older adults who have survived schizophrenia?


A) hallucinations
B) improved mood
C) variable coping skills
D) hoarding

E) A) and C)
F) A) and B)

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Females in which age group show the highest rates of serious mental illness?


A) 65+
B) 18-25
C) 40-49
D) 30-34

E) None of the above
F) All of the above

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An older woman becomes so enraged at what she believes is poor service that she storms out of a restaurant and vows never to eat there again even though she's gone there for years, and there was nothing different about the way she was treated. What would a psychologist need to know in order to consider whether her behavior fits the criteria for abnormality?


A) How long she had been a regular at the restaurant.
B) Whether she really was treated poorly or not.
C) Exactly how old she was at the time of the incident.
D) Whether she had recently become a widow.

E) B) and C)
F) C) and D)

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Risks for what appears to be a schizophrenic-like disorder that develops late in life include:


A) symptoms of depression.
B) reliance on others for help.
C) extreme poverty.
D) social isolation.

E) A) and B)
F) None of the above

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Older adults are most likely to seek help for mental health problems from a:


A) Geropsychologist
B) Mental health worker
C) Pastoral counselor
D) Primary care physician

E) A) and B)
F) A) and C)

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D

Older adults with white matter hyperintensities are at increased risk for developing ____________disorder.


A) substance abuse
B) generalized anxiety
C) major depressive
D) bipolar

E) A) and B)
F) C) and D)

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According to the text, higher rates of mortality among older adults with anxiety symptoms exist for which racial/ethnic group?


A) Pacific Islanders
B) African Americans
C) Non-hispanic whites
D) Native Americans

E) C) and D)
F) B) and C)

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B

The 12-month prevalence of generalized anxiety is 5.7% and of these, _____ per cent are classified as severe.


A) 20
B) 30
C) 50
D) 75

E) C) and D)
F) B) and D)

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Describe the three possible courses of schizophrenia along with the percentage of adults who fall into each of these courses. What are two differences between schizophrenia that arises in early adulthood and late-onset schizophrenia?

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The three possible courses of schizophre...

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How does depression differ in older than younger adults?

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Depression can manifest differently in o...

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One of the key symptoms of LOSS is the experience of:


A) depression after the death of a spouse.
B) unwillingness to seek treatment.
C) increased memories about an earlier traumatic experience.
D) being unwilling to part with unnecessary objects.

E) B) and C)
F) A) and B)

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It is estimated that ____ per cent of older adults who receive medical attention in hospitals and emergency rooms have symptoms of alcohol dependence.


A) 10
B) 14
C) 20
D) 32

E) A) and B)
F) A) and C)

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Which of the following is a sociocultural contributor to suicide risk in older adults?


A) depression
B) memory loss
C) stress
D) chronic pain

E) A) and C)
F) All of the above

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Which of the following coping strategies is not a risk factor for developing symptoms of late life depression?


A) Avoidance coping
B) Problem focused coping
C) Reframing
D) Venting

E) A) and B)
F) C) and D)

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Describe five possible reasons for the misdiagnosis of mood disorders in older adults.

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1. Atypical symptoms: Older adults may present with atypical symptoms of mood disorders, such as cognitive impairment, physical complaints, or irritability, which can be mistaken for other medical conditions or simply attributed to aging. 2. Comorbidity: Older adults often have multiple medical conditions and take multiple medications, which can complicate the diagnosis of mood disorders and lead to symptoms being attributed to other health issues. 3. Lack of awareness: Healthcare providers may not be as attuned to the signs and symptoms of mood disorders in older adults, leading to under-recognition and misdiagnosis. 4. Stigma: There may be a stigma associated with mental health issues in older adults, leading to underreporting of symptoms and reluctance to seek help, which can contribute to misdiagnosis. 5. Age-related changes: Normal age-related changes in cognition, memory, and physical health can overlap with symptoms of mood disorders, making it challenging to differentiate between the two and potentially leading to misdiagnosis.

Why is an integrated treatment model recommended to address mental health issues of older adults?

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An integrated treatment model is recomme...

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Based on prevalence data, older adults with bipolar disorder were most likely to have developed it by the time they reached the age of about:


A) 25
B) 65
C) 50
D) 35

E) All of the above
F) C) and D)

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The problems of older adult alcoholics has receved less attention until recently because:


A) These individuals were social isolates
B) Excessive life-long drinkers rarely lived past 50 years of age.
C) There were too few to be considered a social problem
D) These individuals were institutionalized

E) None of the above
F) A) and B)

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You are a clinician seeing an 86-year-old white male complaining of shortness of breath, stomach upset, problems with memory, and difficulty sleeping. This client has recently experienced the loss of his wife. a. What assessment measures would you use? b. What are the possible diagnoses you would consider? c. What possible serious difficulties might you envision for this client in terms of risk? How would you assess this risk? d. Describe the alternative treatments you would recommend for this client.

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a. For assessment measures, I would star...

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