Answer to Question 1
B, D
An older adult can complain because of having no positive feelings, or the older adult may not bother complaining because of having no hope. The nurse should not deny the older adult's de-pressed feelings or grief.
Older adults who have endured the horrors of the mid-twentieth century (e.g., the Great Depression, the Holocaust, and World War II) are as prone to depression as other older adults, but they can consider it shameful to acknowledge depressive feelings. Serotonin-reuptake inhi-bitors, usually the drug of choice for depression, can be unsuitable for a specific individual. Most antidepressant medications take 6 weeks to resolve symptoms completely.
Answer to Question 2
B
With adequate training and cooperation, the nurse allows family members to feed residents who need assistance with feeding. While the family is assisting with feeding, the nurse supervises the feeding, offers feedback to family members, if necessary, and evaluates the outcome. The nurse avoids assigning more than three residents to each assistant for feeding; four residents are too many to assist safely. If a resident needs assistance with feeding, then attempting to self-feed can be dangerous, humiliating, and frustrating for a resident. If a small group of assistants performs all of the feeding, then the residents will potentially have to wait for long periods before being fed. Since the time required to implement feeding assistance is 38 minutes, a lengthy delay can result in adverse effects or injury for the resident and increase the risk of errors for the assistants, leading to frustration with the residents.