A nurse assessing an elderly patient for depression and suicide potential should include questions about mood as well as: (Select all that apply.)
a. increased appetite.
b. enhanced self-esteem.
c. sleep pattern changes.
d. anhedonia and anergia.
e. increased concerns with bodily functions.
C, D, E
These symptoms are often noted in elderly patients with depression. Somatic symptoms are often present but missed by nurses as related to depression. Anorexia, rather than hyperphagia, is seen in major depression. Low self-esteem is more often associated with major depression.
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The nurse working in a pediatrician's office receives a call from the mother of a 4-month-old infant reporting that the child has vomited the entire feeding twice and has had four diarrhea stools since awakening at 4 a.m
The nurse first asks the mother: 1. "How much formula are you feeding at one time?" 2. "What type of formula are you using?" 3. "When was the last wet diaper you changed?" 4. "What color is the emesis?"
A patient with spinal cord injury is ready to be discharged home. A family member asks the nurse to review potential complications one more time. What are the potential complications that should be monitored for in this patient? Select all that apply
A) Orthostatic hypotension B) Autonomic dysreflexia C) DVT D) Salt-wasting syndrome E) Increased ICP
When a response for a question is missing, the most usual coding procedure is to:
A) Ignore the question for that person B) Leave a blank for that question when entering the data C) Assign a uniform code for all respondents who lack a response D) Assign the midpoint value of the coding numbers for each variable
The nurse manager observes a new graduate nurse complete assessment activities for a newly admitted client. Which actions indicate that the graduate needs assistance with the assessment process?
1. Reviews client record 2. Establishes a database 3. Performs nursing actions 4. Reviews nursing literature 5. Determines client's strengths, risks, and problems