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A nurse is assessing an older adult client who has been diagnosed with depression and social isolation.

Which of the following questions should the nurse ask to determine the possible causes of the client’s condition?

“Have you experienced any significant losses or changes in your life recently?.”.

“How often do you communicate or visit with your family, friends or neighbors?.”.

“What are some of the activities or hobbies that you enjoy doing or used to do?.”.

All of the above.

Answer and Explanation

The Correct Answer is D

The correct answer is D.

All of the above.

The nurse should ask all of these questions to assess the possible causes of the client’s condition.

Depression and social isolation in older adults can be triggered by various factors, such as:.

• Losses or changes in life, such as death of a spouse, retirement, relocation, or chronic illness.

• Lack of social support or contact with family, friends, or neighbors, which can lead to loneliness and reduced self-esteem.

• Decreased engagement or interest in activities or hobbies that provide meaning, pleasure, or stimulation, which can affect mood and cognitive function.

By asking these questions, the nurse can identify the specific factors that contribute to the client’s depression and social isolation, and provide appropriate interventions to address them.

For example, the nurse can:.

• Provide emotional support and empathy to the client and help them cope with their losses or changes.

• Encourage the client to maintain or increase their social interactions and connections with others who share similar interests or experiences.

• Assist the client to resume or find new activities or hobbies that suit their abilities and preferences, and provide positive feedback and reinforcement.

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Correct Answer is B

Explanation

The correct answer isB.

Loss of muscle mass and strength.Sarcopenia is a condition that affects older adults and causes a progressive decline in skeletal muscle mass, strength, and function.This can lead to an increased risk of falls, fractures, disability, and mortality.

Choice A is wrong because the loss of bone mass and strength is calledosteoporosis, not sarcopenia.Osteoporosis is a condition that affects the density and quality of bones, making them more prone to fracture.

Choice C is wrong because loss of joint flexibility and range of motion is calledarthritis, not sarcopenia.

Arthritis is a term that refers to inflammation of the joints, which can cause pain, stiffness, swelling, and reduced mobility.

Choice D is wrong because loss of skin elasticity and moisture is calledskin aging, not sarcopenia.

Skin aging is a process that involves changes in the structure and function of the skin, such as wrinkles, sagging, dryness, and decreased wound healing.

Normal ranges for muscle mass and strength vary depending on age, sex, body size, and physical activity level.However, some general indicators of sarcopenia include:.

• A muscle mass index (muscle mass divided by height squared) below 7.26 kg/m2 for men and 5.45 kg/m2 for women.

• A handgrip strength below 30 kg for men and 20 kg for women.

• A gait speed below 0.8 m/s for both sexes.

A. “Do you drive your own car or use public transportation?.”. B. “Do you have any problems with your vision or hearing?.”. C. “Do you shop for groceries and other necessities by yourself?.”. D. “Do you have any difficulty walking or climbing stairs?.”.

Correct Answer is A

Explanation

The correct answer is A.“Do you drive your own car or use public transportation?.” This question is appropriate for the domain ofmode of transportation, which is one of the eight areas of occupational performance assessed by the Lawton Instrumental Activities of Daily Living (IADLs) Scale.The scale evaluates a person’s ability to engage in more complex activities thought necessary for functioning in community settings.

Choice B is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofability to use a telephone.The scale asks about the person’s ability to operate a telephone, dial numbers, and answer calls.

Choice C is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofshopping.The scale asks about the person’s ability to take care of all shopping needs independently, shop for small purchases, or need assistance with shopping.

Choice D is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofmobility.The scale does not assess mobility directly, but it may be inferred from the person’s ability to travel by public transportation or car.

The Lawton IADLs Scale has a summary score that ranges from 0 (low function, dependent) to 8 (high function, independent) for women, and 0 to 5 for men.The score identifies areas of need in regard to care and support.

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A nurse is assessing an older adult client who has been diagnosed with depression and social isolation. Which of the following questions should the nurse ask to determine the possible causes of the client’s condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an older adult client who has sarcopenia. The nurse knows that this condition is characterized by which of the following?

Correct Answer is B

Explanation

A nurse is conducting a functional status assessment for an older adult client using the Lawton Instrumental Activities of Daily Living (IADLs) Scale. The nurse asks the client about his ability to use transportation. Which of the following questions is appropriate for this domain?

Correct Answer is A

Explanation

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A nurse is assessing an older adult client who has been diagnosed with depression and social isolation.

Which of the following questions should the nurse ask to determine the possible causes of the client’s condition?