The nurse should complete the Geriatric Depression Scale as part of the assessment if an elderly patient answers which question affirmatively?
a. "Would you say your mood is often low?"
b. "Are you having any trouble with your memory?"
c. "Have you noticed an increase in your alcohol use?"
d. "Do you often experience moderate to severe pain?"
A
Feeling low may be a symptom of depression. Low moods occurring with regularity should signal the need for further assessment for other symptoms of depression. The other options do not focus on mood.
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Decreased renal mass and reduced glomerular filtration make it especially important that nurses:
A) Assist elderly patients with frequent toileting B) Ensure that age-adjusted drug dosages are prescribed C) Look for signs of urinary tract infections D) Frequently check urine for glucose
When conducting a spiritual assessment, you should obtain information about the patient's spiritual beliefs and how those beliefs might
a. conflict with the policies of the health care agency or institution. b. affect the patient's views of health, illness, and health care. c. lead to spiritual distress. d. differ from your personal beliefs.
Folic acid deficiency has been implicated in which birth defect?
a. Hydrocephalus c. Congenital heart dis-ease b. Spina bifida d. Rickets
After a birth complicated by a shoulder dystocia, the infant's Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. The nurse in the birthing room should:
a. palpate the infant's clavicles. b. encourage the parents to hold the infant. c. perform a complete newborn assessment. d. give supplemental oxygen with a small face mask.