A 77-year-old recently admitted to a long-term care facility refuses to join in activities or go to the dining room for meals. How should the nurse interpret this behavior?
Fear
Stubbornness
Exhaustion
Depression
The Correct Answer is D
A. Fear
May be present, but persistent withdrawal is more characteristic of depression.
B. Stubbornness
Labeling the behavior as stubborn overlooks underlying psychological concerns.
C. Exhaustion
Fatigue may contribute, but alone does not fully explain the behavioral pattern.
D. Depression
Social withdrawal, appetite changes, and lack of interest are common signs of depression in older adults.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Judgment loss: This may occur with dementia, but it is not a common normal concern of aging.
B. Short-term memory loss: This is a frequent concern in normal aging, as many older adults notice forgetfulness with recent events.
C. Creativity loss: Creativity can be maintained into old age and is not typically lost.
D. Long-term memory loss: Long-term memory is usually preserved in normal aging; significant loss may suggest pathology.
Correct Answer is A
Explanation
A. Alzheimer dementia
MCI is a known risk factor and often a prodromal stage for Alzheimer's disease; many people with MCI progress to Alzheimer's.
B. Dementia, non-Alzheimer type
While possible, the most common progression is to Alzheimer’s, not other forms of dementia.
C. Psychotic disorders
MCI is primarily cognitive and does not typically progress to psychotic disorders.
D. Parkinson disease
MCI is not a precursor to Parkinson's disease, which is a neurodegenerative motor disorder.
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