The home health nurse is visiting a 78-year-old woman who seems confused, withdrawn, and says that her neighbor who has been a friend for years has been "watching her." The nurse suspects that the woman suffers from:
A) Panic disorder
B) Loss and grief
C) Depression
D) Anxiety
Ans: C
Feedback: Depression can occur at any age, and it is diagnosed more frequently in women than in men. In elderly patients, nurses should be aware that decreased mental alertness and withdrawal-type responses may be indicative of depression. Option A is incorrect; panic disorder presents with anxiety-related behaviors. Option B is incorrect; there is no evidence of loss and grief in the stem of the question. Option D, anxiety, presents with apprehension, fear or worry, and "feeling like" her friend has been "watching her" could be anxiety related, but decreased mental alertness and withdrawal indicate a more depressive influence.
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