The nurse is conducting an assessment for an older adult client who experienced a myocardial infarction (MI) a few months ago
The clients states, "I just don't feel like doing much. I feel ok physically but I just don't want to be around anyone." Based on this data, which tool should the nurse use to further assess the client?
A) Get-up-and-Go test
B) Barthel Index of Activities of Daily Living
C) Geriatric Depression Scale
D) Short Portable Mental Status tool
Answer: C
The most appropriate tool for the nurse to use in further assessing the client is the Geriatric Depression Scale. This instrument is designed to assess low mood and diminished self-esteem as well as loss of interest in activities that are normally enjoyed, and because the client experienced a myocardial infarction 6 months previously, the nurse should be aware that depression following such a major illness is not uncommon. The other instruments measure other factors that are relevant to the functioning of older adult client, but do not appear to be indicated at this time given the historical data presented.
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