An older patient on chemotherapy is in the oncology clinic for follow-up. The nurse notes the patient appears depressed. What action by the nurse should occur first?
a. Assess the patient for depression.
b. Review the patient's chemotherapy.
c. Ask the patient about suicidal ideation.
d. Inquire how the patient has been feeling.
B
The nurse should assess the patient for depression; however, prior to doing so, the nurse should review the patient's chemotherapy. Some chemotherapy drugs can cause depression, and it may be a confusing picture. Depending on the results of the screening, asking about self-harm may be appropriate. Inquiring how the patient is feeling is appropriate, but it is not the most important action.
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