The nurse has used the Yesavage Geriatric Depression Scale (short form) and scored the patient at a 1 . What is the nurse's best action?
a. Refer the patient to a mental health practi-tioner.
b. Assess the patient further for depression.
c. Ask the patient about using antidepressant medications.
d. Document findings in the patient's medi-cal record.
D
A score of 5 or more indicates possible depression that should be assessed further. A score of 1 indicates no or little depression risk. The nurse should document the findings. No other action is needed.
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The nurse is conducting an interview with the client, and wishes to allow the client more control over the interview. Which of the following questions would be appropriate for this purpose?
1. "Do you know why you have been admitted to the hospital?" 2. "Do you have a good relationship with your children?" 3. "Would you tell me more about your relationship with your children?" 4. "Did you feel depressed after talking with your children?"
Prostatic cancer has recently been diagnosed in a 75-year-old man, and he has begun estrogen treatment. He tells his spouse "These pills are going to make me a woman.". What should the nurse tell the man about the intention of this treatment?
A) Reduce surgical risks B) Treat prostatic hypertrophy C) Support sexual performance D) Prevent tumor dissemination
A patient who has been taking levothyroxine (Synthroid) for 2 months has all of the following conditions. Which condition indicates that the drug therapy is effective?
a. Increased thirst b. Daily bowel movement for 1 week c. White blood cell count of 6000/mm3 d. Weight unchanged for the last 3 weeks
The patient receives opioid analgesia with naproxen (Naprosyn) after a total abdominal hysterectomy. Which patient datum is the nurse's priority?
a. The patient has not had a bowel move-ment since surgery. b. The patient declines a massage after anal-gesic administration. c. Respiratory rate drops from 22 to 16 breaths/min. d. The patient receives famotidine (Pepcid) for esophageal reflux.