Registered Practical Nurse (RPN) Practice Test

What client response would suggest the presence of a mental health problem if an older adult experiences unintentional weight loss?

1. Claims to not feel hungry

2. Afraid to eat as the food is poisoned

3. States they are following a diet

4. Expresses that food tastes different

The correct answer is: Afraid to eat as the food is poisoned

The response indicating that the older adult is afraid to eat because they believe the food is poisoned suggests a significant mental health issue, potentially involving paranoia or delusional thinking. This level of fear and mistrust about food intake signals a deeper psychological concern that can greatly affect their overall health, especially when it leads to unintentional weight loss. The concern here is not just about the act of eating but also indicates possible underlying disorders such as anxiety or a psychotic disorder. Such beliefs can lead to severe dietary restrictions and further exacerbate weight loss, indicating that the individual may need urgent mental health evaluation and support. Other responses, while they may indicate some level of concern about food and eating, do not intrinsically suggest the presence of a mental health disorder to the same extent. A claim of not feeling hungry can be a normal part of aging or a temporary response to health changes. Stating they are following a diet can reflect a conscious choice about eating without implying distress or dysfunction. Expressing that food tastes different may relate to physical health issues, like loss of taste, rather than a mental health problem. Hence, the belief that food is poisoned stands out as the most alarming indicator of a possible mental health issue.