When assessing an older adult, the nurse should be alert to the clinical manifestations of depression that may be masked by other chronic conditions. The cardinal and primary behavior exhibited in the depressed older adult is
a. loss of appetite and weight loss.
b. drinking alcohol.
c. loss of interest in previously pleasurable activities.
d. inactivity.
C
Loss of interest in previously enjoyable activities and withdrawal are indicators to the nurse that the patient may be clinically depressed and in need of further assessment. Loss of appetite, weight loss, drinking alcohol, and inactivity are not the primary behaviors exhibited in depressed older adults.
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The nurse is obtaining a sexual history from an older male client. Which statement made by the client is most concerning to the nurse?
1. "I just don't want to have sex anymore." 2. "Sex is over much too quickly these days." 3. "My erections are not as firm anymore." 4. "I would like to be able to have sex more often."
A 5-year-old child presents with discrete vesicles on an erythematous base (dew drops on a rose petal appearance) that began near her scalp and are spreading to the trunk. The child has a low-grade fever and feels tired
What is the nurse's next action? a. Teach infectious control measures. b. Inquire about other patterns of physical abuse. c. Inspect the buccal mucosa for Koplik spots. d. Inform the parent that this will resolve within a couple of days.
A nurse provides care to rural adults after working in an urban clinic for many years. Which of the following considerations should the nurse make when working with this population?
a. Rural adults are more likely to have health insurance. b. Rural adults are more likely to have access to health care providers. c. Rural adults are more concerned about their health status. d. Rural adults are more likely to experience mobility limitations.
Which of the following interventions should the nurse include in a plan of care for a client with histrionic personality disorder?
A) Accept the client's behavior. B) Assist the client to eliminate passive behavior. C) Set limits on attention-seeking behavior. D) Try to meet the client's needs for attention.