The nurse is performing risk assessment for depression on elderly ...

[faduma]

The nurse is performing risk assessment for depression on elderly clients in a long-term healthcare facility. Which of the following is a nursing consideration when assessing the mental health of an older adult?
 
  A) Depression is a normal part of aging.
  B) Older adults are more in control when losses occur than are younger adults.
  C) Many older adults are reluctant to admit that they are depressed.
  D) Clinical depression is often overdiagnosed in older adults

Question 2

The nurse is administering a swish-and-swallow solution to a client who has stomatitis related to chemotherapy. Which of the following is a nursing consideration for this treatment?
 
  A) Swallow only very small amounts of the solution.
  B) Brush the teeth vigorously after using the solution.
  C) Use a commercial mouthwash following administration.
  D) Floss the teeth after using the solution.

[Joc]

Answer to Question 1

C
Feedback:
Many older clients are reluctant to admit they are depressed. The negative stigma attached to psychiatric diagnoses is different for individuals born in the 20th century than citizens of this century. Depression is not a normal part of aging; however, it is very common because the elderly have increased risk factors. Cumulative losses and numerous changes, most of which are beyond a person's control, can lead to depression. Clinical depression is often underdiagnosed or misdiagnosed in older adults.

Answer to Question 2

A
Feedback:
The nurse should caution the client to swallow only very small amounts of the swish-and-swallow solution at a time because the mixture will anesthetize the throat and may cause difficulty in swallowing, talking, or even breathing. Brushing teeth, using mouthwash, and flossing are not recommended following this treatment. With stomatitis, teeth should be brushed gently and flossing should not be done.

[faduma]

Gracias!

[Alyson.hiatt@yahoo.com]

TYSM