Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which mental health issue is most prevalent among older adults?

1. Dementia

2. Schizophrenia

3. Clinical depression

4. Obsessive compulsive disorder

The correct answer is: Clinical depression

Clinical depression is the most prevalent mental health issue among older adults. Research shows that depression in this population can occur due to various factors, including social isolation, physical health problems, loss of loved ones, and significant life changes, such as retirement. The manifestation of depression might differ in older adults compared to younger individuals, sometimes leading to underdiagnosis due to atypical presentations or the false perception that it is a normal part of aging. Dementia, while prevalent, is not as widespread as clinical depression. It affects a significant number of older adults but is more of a specific cognitive decline rather than a mood disorder. Schizophrenia is much less common in older adults compared to younger populations, and obsessive-compulsive disorder, although present, does not show the same level of prevalence in this age group as clinical depression does. The focus on clinical depression reflects a critical area of concern in geriatric mental health, emphasizing the need for awareness and adequate treatment strategies for older adults experiencing depressive symptoms.