Which finding is abnormal in an aging patient and should be reported to the physician? (Select all that apply.)
a. Altered sleep patterns
b. Depression
c. Forgetfulness
d. Decreased postural stability
e. Decreased problem-solving ability
f. Fine motor tremors of the hands
ANS: B, F
With age the brain loses neurons, but this is only a small percentage of the total and is not the usual cause of mental impairment in the elderly; far more common causes of mental changes include depression, malnutrition, hypotension, and the side effects of medications. Some forgetfulness is to be expected, however, as is a decreased ability for problem solving, altered sleep patterns, and a decrease in postural stability. Fine motor tremors in the hands are a symptom of Parkinson's disease and is considered an abnormal finding.
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