The long-term care facility nurse carefully assesses the newly admitted older adult for signs of depression, which include _______________________________. (Select all that apply.)
a. appetite changes.
b. weight loss.
c. complaints of minor physical ailments.
d. sleep disturbances.
e. taking part in only one social activity a day.
ANS: A, B, C, D
You might also like to view...
A client drinks 4 3/4 cups (cup = 8 oz) of a liquid
How many mL did the client drink? ______ mL
A new mother asks what she can do to help her infant sleep through the night. The nurse should instruct the mother to:
a. avoid talking to the infant and keep the room quiet during night feedings. b. bring the infant into a well-lighted room for the feeding. c. change the infant's diaper after the feeding to prevent waking the infant later in the night. d. play with the infant after the feeding before putting the infant back into the crib.
The nurse should conduct a mental status assessment of a client during which of the following?
a. Abdominal assessment b. Interview and health history c. Thorax and lungs assessment d. Musculoskeletal assessment
A patient with schizophrenia tells the nurse as they sit in the day room, "I hear voices telling me bad things." The most therapeutic response the nurse can make is:
a. "Tell me what the voices are saying." b. "I believe you hear voices, but I don't hear them myself." c. "The voices are not real. They're a product of your imagination." d. "Do you think the voices would go away if we went into your room to talk?"