A resident in a senior community has lost weight, feels ...

[fagboi]

A resident in a senior community has lost weight, feels depressed, and has lost interest in former social activities
 
  The nurse asks, When you last saw your doctor, did you share these problems? The resident replies, Yes, but the doctor said I shouldn't expect to feel good every day. Which barrier to mental health care is evident?
  a. Legislative failures to provide services for older adults
  b. The physician's inadequate mental health assessment
  c. The resident's inadequate description of symptoms
  d. Economic obstacles to adequate programming

Question 2

A patient diagnosed with obsessive-compulsive disorder (OCD) experiences improvement after beginning treatment with a selective serotonin reuptake inhibitor (SSRI). This phenomenon supports the theory that OCD is associated with
 
  a. norepinephrine deficiency.
  b. serotonin dysregulation.
  c. dopamine excess.
  d. GABA deficiency.

[billybob123]

Answer to Question 1

B
Primary-care physicians are often hurried and have little time to spend with patients. In addition, they are more attuned to and more comfortable treating physical problems than mental disorders. They often miss depressive symptoms in older adults, thus creating a barrier to effective treatment. The patient's description of symptoms was adequate. Economic and legislative policies are not discussed in the scenario.

Answer to Question 2

B
Serotonin dysregulation is hypothesized to play a part in OCD. Relief associated with SSRIs supports this hypothesis. The other theories are nonrelated.