A nurse is discussing the demanding and dependent behavior of an older, depressed female client with the treatment team. Which of the following comments indicates ageism?
1. "She is demanding and dependent because she is lonely and not receiving enough attention from staff members."
2. "She is feeling depressed and could benefit from counseling or an antidepressant."
3. "She should be encouraged to attend more activities and do as much as possible by herself."
4. "She should be encouraged to spend more time with people her own age instead of trying to look or act younger."
4
Rationale: Encouraging the client to spend time with people her own age instead of trying to look and act younger reflects ageism—a bias against older people. Recognizing that demanding and dependent behaviors are symptomatic of depression and loneliness indicates an understanding that these behaviors are not a normal consequence of aging. Suggesting that the client could benefit from increased interaction, independence, and mental health intervention is implementing the role of an elder advocate.
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