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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D.
All of the above.
This is because all of these findings indicate that the client has experienced an improvement in mood, energy, appetite, sleep, interest and participation in social activities and hobbies, which are common signs of depression recovery.
Choice A is wrong because it only covers some of the symptoms of depression, such as mood, energy, appetite and sleep, but not others, such as interest and participation in social activities and hobbies.
Choice B is wrong because it only measures the client’s depression level using standardized scales, such as the Geriatric Depression Scale (GDS) or the Patient Health Questionnaire (PHQ-9), but not their actual functioning and quality of life.
Choice C is wrong because it only reflects the client’s interest and participation in social activities and hobbies, which are important aspects of depression recovery, but not their mood, energy, appetite, sleep or depression level.
The GDS and the PHQ-9 are both valid and reliable tools for screening and measuring depression in older adults.
The GDS is a 15-item questionnaire that asks the client to answer yes or no to questions about their mood, satisfaction, hopelessness, helplessness, worthlessness, guilt, agitation, withdrawal and suicidal thoughts.
The PHQ-9 is a 9-item questionnaire that asks the client to rate how often they have experienced symptoms of depression in the past two weeks, such as depressed mood, anhedonia, insomnia or hypersomnia, fatigue, appetite or weight changes, concentration problems, feelings of worthlessness or guilt.
A. The client reports an improvement in mood, energy, appetite and sleep B.
The client scores lower on the Geriatric Depression Scale (GDS) or the Patient Health Questionnaire (PHQ-9) C.
The client shows more interest and participation in social activities and hobbies D.
All of the above
Correct Answer is D
Explanation
The correct answer is D.
“Social interaction can help me avoid stress and anxiety.” This statement indicates a need for further teaching because social interaction does not necessarily help older adults avoid stress and anxiety.
In fact, some social situations may cause or increase stress and anxiety for some people, especially if they are negative, unpleasant, or conflictual.
Therefore, the nurse should explain to the client that social interaction can help them cope with stress and anxiety, but not avoid them altogether.
Choice A is correct because social interaction can help lower blood pressure and cholesterol levels by reducing the effects of stress hormones and promoting physical activity.
Choice B is correct because social interaction can help boost the immune system by enhancing positive emotions, increasing antibody production, and reducing inflammation.
Choice C is correct because social interaction can help improve memory and learning ability by stimulating brain regions involved in cognition, communication, and social perception.
Normal ranges for blood pressure are less than 120/80 mmHg for adults, and normal ranges for cholesterol are less than 200 mg/dL for total cholesterol, less than 100 mg/dL for LDL cholesterol, and more than 40 mg/dL for HDL cholesterol.
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