The home care nurse hears an elderly client's spouse tell the client, "You are good for nothing! You insist on living in this huge home which you cannot maintain but expect me to.". The client engages in an argument with the spouse
The home care nurse identifies which of the following for the client and spouse? 1. Financial struggles within the family
2. Spousal abuse
3. Evidence of low blood glucose levels
4. Possible situational depression for both client and spouse
4. Possible situational depression for both client and spouse
Rationale:
Manifestations associated with situational depression in the elderly include irritability and poor work performance. One spouse is irritable because of overwork and the other spouse is irritable because of the inability to perform household work. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.
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