Author Question: The nurse assessing an elderly client for suicide potential should include questions about mood as ... (Read 23 times)

Jramos095 · **on:** Jul 19, 2018

The nurse assessing an elderly client for suicide potential should include questions about mood as
well as seek information about (more than one option may be correct)

A. sleep pattern changes.
B. increased appetite.
C. increased concern with bodily functions.
D. enhanced self-esteem.
E. anhedonia and anergia.

Question 2

The treatment team discusses the fact that a client diagnosed with paranoid schizophrenia and
cannabis abuse is experiencing increased hallucinations and delusions and has recently used
cannabis on a daily basis.

To plan effective treatment the team must
a. consider each diagnosis primary and provide simultaneous treatment.
b. first treat the schizophrenia, then establish goals for substance use treatment.
c. withdraw the client from cannabis, then treat the symptoms of schizophrenia.
d. hospitalize the client for the longest possible stay permitted by insurance.

phuda · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, C, E
Rationale: These symptoms are often noted in elderly clients with depression. Somatic symptoms are
often present but are missed by nurses as being related to depression. Option B: Anorexia, rather
than hyperphagia, is seen in major depression. Option D: Low self-esteem is more often associated
with major depression.

Answer to Question 2

A
Dual diagnoses clinical practice guidelines for both outpatient and inpatient settings suggest that the
substance disorder and the psychiatric disorder should both be considered primary and receive
simultaneous treatment. In addition, outcomes should be individualized to support progress in small
steps over a long period of time. Thus options B and C are ruled out as correct answers. Option D: In
today's health care climate, long hospitalizations are rarely allowed by insurers.