A home health nurse visits an elderly client. The spouse reports that the client has recently begun to behave in an "abusive" manner and describes "catastrophic reactions" to minor events
The nurse assesses the client for which of the following as the MOST likely source of these behaviors? a. hypotension
b. oversedation from medication
c. untreated pain
d. new onset of schizophrenia
C
Clinically relevant symptoms of anxiety and depression are often comorbid with physical health problems. Recent studies of agitation among the cognitively impaired have shown that many of the behaviors that have been identified as "abusive" or as "catastrophic reactions" may, in fact, be the result of untreated pain. Chronic illness results in disability and chronic pain, and anxious and depressive symptoms may be a barometer of the discomfort rather than a mental disorder.
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