The nurse has completed a health history on 75-year-old individual who recently lost their spouse. They report losing 20 pounds in the past three months. The nurse can anticipate that the most likely explanation would be:
1. Food insecurity.
2. Depression and sense of loss over spouse's death.
3. Decrease in opportunities for social interactions.
4. Multiple medications.
2
Rationale: Loss of appetite because of pain, medication side effects, gastrointestinal symptoms, sadness, or depression can all lead to decrease dietary intake. The other choices can lead to undernutrition in the older adult, but would have most likely existed before the passing of the spouse. In addition, there is no information to support these conditions.
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