The spouse of an older adult patient is concerned that the patient has recently experienced memory lapses, is unusually aggressive, and has had three traffic accidents in the past month. Which will the nurse include as part of the assessment?
Select all that apply.
1. Depression screening
2. Substance abuse assessment
3. Nutrition screening
4. Mental status examination
5. Anxiety screening
Answer: 2, 4
Explanation: Further assessment of the patient's behavior is necessary. Unusual aggression, memory lapses, and traffic accidents may indicate progressive loss of cognitive function associated with dementia, but they may also indicate some type of substance abuse, such as alcohol use disorder. Although aggression may be associated with anxiety due to an unmet need, the combination of aggression with memory lapses and traffic accidents does not indicate a need for an anxiety screening or a depression screening. There is no indication of inadequate nutrition.
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1. Oral stage 2. Anal stage 3. Phallic stage 4. Latent stage
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a. The supine position b. Fowler's position c. Sims' position d. The prone position
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What will be an ideal response?