A nurse is assessing an older adult client who has depression. Which of the following symptoms would the nurse expect to find? (Select all that apply.).
Increased appetite and weight gain.
Difficulty falling asleep or staying asleep.
Loss of interest or pleasure in usual activities.
Feelings of guilt, worthlessness or hopelessness.
Suicidal thoughts or attempts.
Correct Answer : B,C,D,E
The correct answer is B, C, D, and E.
These are common symptoms of depression in older adults, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Choice A is wrong because increased appetite and weight gain are not typical signs of depression in older adults. In fact, decreased appetite and weight loss are more likely to occur in depressed older adults.
Normal ranges for appetite and weight vary depending on the individual’s height, body mass index, health status, and dietary needs. However, a general guideline is that older adults should consume about 30 calories per kilogram of body weight per day, and maintain a healthy weight that is neither too high nor too low.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
The Geriatric Depression Scale (GDS) is a screening tool used to identify symptoms of depression in older adults.
It was originally developed by J.A.Yesavage and colleagues in 1982.
It consists of questions that assess a person’s level of enjoyment, interest, social interactions, and more.
• Choice A is correct because the GDS consists of 30 yes/no questions that assess the client’s mood and cognitive function.
• Choice B is correct because the GDS has a cut-off score of 10, indicating a high risk of depression.A score of 0 to 9 indicates normal mood, while a score of 10 to 19 indicates mild depression and a score of 20 to 30 indicates severe depression.
• Choice C is correct because the GDS can be administered by the nurse, the client or a family member.
The GDS is a self-report instrument that uses a “yes/no” format, which makes it easy to complete by different people.
• Choice D is correct because the GDS takes about 15 minutes to complete and score.The GDS is a brief and simple tool that can be used in various settings, such as acute, long-term, and community settings.
• Choice E is correct because it summarizes all the previous choices.
Therefore, the GDS is a valid and reliable tool for screening depression in older adults.It has several advantages, such as being specific for psychiatric rather than somatic symptoms, being appropriate for healthy as well as medically ill adults and those with mild to moderate cognitive impairments, and being available in different forms and languages.
Correct Answer is ["B","C","D","E"]
Explanation
The correct answer isB, C, D, and E.
These are common symptoms of depression in older adults, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Choice A is wrong becauseincreased appetite and weight gainare not typical signs of depression in older adults.In fact,decreased appetite and weight lossare more likely to occur in depressed older adults.
Normal ranges for appetite and weight vary depending on the individual’s height, body mass index, health status, and dietary needs.However, a general guideline is that older adults should consume about 30 calories per kilogram of body weight per day, and maintain a healthy weight that is neither too high nor too low.
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