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 C
Explanation
A. Cardiovascular system
This system undergoes significant changes with aging, such as decreased cardiac output and arterial stiffness.
B. Respiratory system
Experiences notable changes like reduced lung elasticity and vital capacity.
C. Central nervous system
Although neuron loss and slowed synaptic transmission occur, the CNS shows only a slight functional decline unless compounded by disease.
D. Renal system
The kidneys show marked age-related decline, including decreased GFR and reduced ability to concentrate urine.
Correct Answer is ["A","C","D","E"]
Explanation
A. Reduced blood flow through the liver
Decreases the liver’s ability to metabolize drugs, leading to prolonged drug action or toxicity.
B. Decreased body water
Affects drug distribution, especially water-soluble drugs, but not inactivation directly.
C. Decreased liver size
Smaller liver has less functional tissue, reducing metabolic capacity for drug inactivation.
D. Reduced liver enzyme activity
Enzymes involved in drug metabolism are less active, delaying inactivation.
E. Decreased renal function
Affects elimination of drugs and prolongs drug action, especially those excreted unchanged by kidneys.
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