The correct responses relate to symptoms often noted in elderly patients with depression. Somatic symptoms are often present but missed by nurses as related to depression. Anorexia, rather than hyperphagia, occurs in major depression. Grandiosity is associated with bipolar disorder. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 31-3 to 5, 9, 25, 44 (Box 31-7) | Page 31-45 (Box 31-8) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 3. Which assessment findings would alert the nurse that an older patient may have an increased
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risk for development of geriatric alcohol abuse? (Select all that apply.) a. Mild recent memory impairment b. Eighth grade education c. Death of spouse d. Retirement e. Loneliness
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ANS: B, C, D, E
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The geriatric problem drinker begins drinking in later life, often in response to stressors such as retirement, loss of spouse, and loneliness. Once the demands of job, career, and care of a family and household are gone, the structure of daily life is disrupted. Mild cognitive impairment is not a predisposing factor in the development of geriatric problem drinking. Other risk factors include less than a high school education, smoking, low income, and male gender.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 31-7, 35 (Box 31-1) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 4. Which remarks by a 72-year-old patient should prompt the nurse to assess for depression?
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(Select all that apply.) a. “Lately I have had a lot of aches and pains and just haven’t felt very well.” b. “People are in and out of my room all day and all night taking my things.” c. “Don’t ask me to eat. I can’t because my stomach is upset all the time.” d. “I’m eating more than usual, and I am sleeping about 6 hours a night.” e. “Life seems more organized now that I don’t live in my own home.” ANS: A, B, C
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Any of the remarks listed as correct should be enough to trigger use of an assessment tool for depression. Somatic symptoms, delusions of persecution, and nihilistic delusions are more common in late-onset depression than in early-onset depression. The distracters do not suggest symptoms of depression.
PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 31-3 to 5, 9, 25, 44 (Box 31-7) | Page 31-45 (Box 31-8) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which beliefs by a nurse facilitate provision of safe, effective care for older adult patients?
(Select all that apply.) a. Sexual interest declines with aging. b. Older adults are able to learn new tasks.
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