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Author Question: Which of the following statements by residents of a nursing home should prompt a nurse to assess for ... (Read 64 times)

Zulu123

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Which of the following statements by residents of a nursing home should prompt a nurse to assess for depression?
 
  A) Lately I wake up for the day at 4:00 or 5:00 in the morning and can't fall asleep again.
  B) I've got these cravings for sugary and salty snacks more than I used to.
  C) I've never been too prone to headaches, but these days I always seem to have one.
  D) I don't know why this sore on my ankle just won't heal this time.

Question 2

An older adult has been accompanied by an adult child to visit a primary care provider. The child has expressed concern about the client's increasing apathy, isolation, and apparent sadness over the past several months;
 
  and the client acknowledges many of the symptoms of depression. Which of the following assessments should the nurse prioritize?
 
  A) Functional assessment
  B) Medication assessment
  C) Musculoskeletal assessment
  D) Cardiovascular assessment



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snackralk

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Answer to Question 1

Ans: A
Early morning waking is a sleep disturbance that is characteristic of depression. Headaches and impaired healing may also be linked with depression, but sleep disturbances are more highly associated with the problem. Food cravings are not typical of depression in older adults.

Answer to Question 2

Ans: B
Medications may be risk factors for depression in numerous ways. A functional assessment is necessary, but this is more likely to ascertain the effects, rather than causes, of her depression. Musculoskeletal and cardiovascular assessments are secondary.





 

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