Registered Practical Nurse (RPN) Practice Test

What should a nurse assess for in older adults after they have been treated with psychiatric medications?

1. Changes in sleep patterns

2. Potential drug dependency

3. Ability to perform daily tasks

4. Substance use issues

The correct answer is: Changes in sleep patterns

Assessing changes in sleep patterns in older adults who have been treated with psychiatric medications is crucial for several reasons. Psychiatric medications, particularly those used for anxiety and depression, can significantly impact sleep quality and quantity. Older adults are often more sensitive to medications due to age-related changes in metabolism and excretion, which can lead to side effects like insomnia or excessive sedation. Monitoring sleep patterns allows the nurse to identify any adverse effects that may require intervention, such as dosage adjustments or changes in medication. Additionally, sleep disturbances can exacerbate existing mental health conditions, thereby affecting the overall treatment and recovery process. Addressing sleep issues is essential for improving the quality of life and supporting the therapeutic goals of psychiatric care in older adults. While other factors like potential drug dependency, the ability to perform daily tasks, and substance use issues are also important considerations, changes in sleep patterns provide immediate, observable indications of the medication's effects and can directly influence the patient’s health outcomes.