Registered Practical Nurse (RPN) Practice Test

When assessing an older adult with unexplained behavior and personality changes, what should be included in the assessment?

1. Experience of chronic pain

2. Medication history

3. Social support networks

4. Physical activity levels

The correct answer is: Experience of chronic pain

The correct focus on medication history is essential when assessing an older adult with unexplained behavior and personality changes. Many older adults take multiple medications, which can lead to side effects or interactions that significantly impact mood and cognition. Some medications may cause confusion, depression, or altered mental status, which can manifest as changes in behavior or personality. Identifying all current and past medications, including over-the-counter drugs and supplements, is critical for determining whether a medication-related issue may be contributing to the observed changes. While chronic pain, social support networks, and physical activity levels are important factors to consider in an overall assessment, they do not directly address the potential pharmacological influences on mental status. Chronic pain could certainly affect a person's behavior but is less likely to be the primary cause of rapid changes in personality. Social support can impact mental health, and physical activity is vital for overall well-being, but medication history provides direct insight into something that could be causing the sudden and unexplained behavioral changes seen in the older adult.