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 D
Explanation
A. They are reluctant to get flu and pneumonia vaccinations: While some older adults may be hesitant, this is not the primary reason respiratory care is emphasized.
B. Decreased activity due to aging lowers oxygenation: Decreased activity can affect oxygenation, but it's not the most direct or major reason respiratory care is crucial.
C. Increased demands on the aging body increase risks of infection: Although aging increases susceptibility to infections, this is too broad and not specific to respiratory care.
D. Chronic pulmonary disease is the third leading cause of death in older adults: This is the most compelling and specific reason; chronic respiratory diseases significantly impact morbidity and mortality in the elderly, making respiratory care a priority.
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