Which remarks by a 72-year-old patient should prompt the nurse to assess for depression? Select all that apply. a. "Lately I have had a lot of aches and pains and just haven't felt very well." b. "People are in and out of my room all day and all nigh
a. "Lately I have had a lot of aches and pains and just haven't felt very well."
b. "People are in and out of my room all day and all night taking my things."
c. "Don't ask me to eat. I can't because my stomach is upset all the time."
d. "I'm eating more than usual, and I am sleeping about 6 hours a night."
e. "Life seems more organized now that I don't live in my own home."
ANS: A, B, C
Any of the remarks listed as correct should be enough to trigger use of an assessment tool for depression. Somatic symptoms, delusions of persecution, and nihilistic delusions are more common in late-onset depression than in early-onset depression. The distracters do not suggest symptoms of depression.
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