A resident in a senior community has lost weight, feels depressed, and has lost interest in former social activities

The nurse asks, "When you last saw your doctor, did you share these problems?" The resident replies, "Yes, but the doctor said I shouldn't expect to feel good every day." Which barrier to mental health care is evident?
a. Legislative failures to provide services for older adults
b. The physician's inadequate mental health assessment
c. The resident's inadequate description of symptoms
d. Economic obstacles to adequate programming


B
Primary-care physicians are often hurried and have little time to spend with patients. In addition, they are more attuned to and more comfortable treating physical problems than mental disorders. They often miss depressive symptoms in older adults, thus creating a barrier to effective treatment. The patient's description of symptoms was adequate. Economic and legislative policies are not discussed in the scenario.

Nursing

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A patient's intractable neuropathic pain is being treated on an inpatient basis using a multimodal approach to analgesia

After administering a recently increased dose of IV morphine to the patient, the nurse has returned to assess the patient and finds the patient unresponsive to verbal and physical stimulation with a respiratory rate of five breaths per minute. The nurse has called a code blue and should anticipate the administration of what drug? A) Acetylcysteine B) Naloxone C) Celecoxib D) Acetylsalicylic acid

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When counseling the older adult patient about screening for preventive health, the nurse tells the patient that a complete physical for patients over 75 is recommended every:

a. 2 years. b. 6 months. c. 3 years. d. year.

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A patient recently diagnosed with diabetes states, "A friend whose mother was diabetic told me that it is more economical to use urine dipsticks than to monitor blood levels with a glucometer."

Which response by the nurse is most appropriate? 1. "Urinary glucose is no longer used to routinely monitor glucose control.". 2. "You will be monitoring your urine glucose as well as your blood glucose.". 3. "Yes, urine dipsticks are cheaper than glucose test strips.". 4. "Would you like to switch to this method of monitoring?"

Nursing

The nurse is preparing to administer medication to a patient receiving cyclophosphamide (Cytoxan). To protect against the side effect of hemorrhagic cystitis, the nurse would expect to administer which drug?

a. Decadron b. Diphenhydramine (Benadryl) c. Leucovorin d. Mesna (Mesnex)

Nursing