The nurse is preparing an educational program for nursing assistants at a long-term care facility about psychiatric issues in older patients. Which symptoms should the nurse include? Standard Text: Select all that apply

1. Flat affect
2. Fear of death
3. Changes in sleep patterns
4. Delusions and hallucinations
5. Difficulty in performing ADLs


1,2,3,4
Rationale: A psychiatric symptom that should be investigated and not written off as a normal change of aging includes problems with emotional expression such as a flat affect.

Nursing

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The nurse assesses several risk factors for skin tears on the admission of a 90-year-old resident, which include: (Select all that apply.)

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