The nurse is assessing an older adult client who experienced a myocardial infarction (MI)a few months ago. The client states, "I don't feel like doing much. I feel okay physically, but I just don't want to be around anyone." Based on this data, which tool should the nurse use to further assess the client?

Question

Quizplus · Accepted Answer

A)The most appropriate tool for the nurse to use in further assessing the client is the Geriatric Depression Scale. This instrument is designed to assess low mood and diminished self-esteem, as well as loss of interest in activities that the client normally enjoys. The nurse should recognize the need to assess for depression in light of the client's statement, as well as the client's recent MI. (Depression is not uncommon following a major illness like MI.)The other instruments listed here measure other factors that are relevant to the functioning of older adult clients, but they do not appear to be indicated at this time given the historical data presented.
B)The most appropriate tool for the nurse to use in further assessing the client is the Geriatric Depression Scale. This instrument is designed to assess low mood and diminished self-esteem, as well as loss of interest in activities that the client normally enjoys. The nurse should recognize the need to assess for depression in light of the client's statement, as well as the client's recent MI. (Depression is not uncommon following a major illness like MI.)The other instruments listed here measure other factors that are relevant to the functioning of older adult clients, but they do not appear to be indicated at this time given the historical data presented.
C)The most appropriate tool for the nurse to use in further assessing the client is the Geriatric Depression Scale. This instrument is designed to assess low mood and diminished self-esteem, as well as loss of interest in activities that the client normally enjoys. The nurse should recognize the need to assess for depression in light of the client's statement, as well as the client's recent MI. (Depression is not uncommon following a major illness like MI.)The other instruments listed here measure other factors that are relevant to the functioning of older adult clients, but they do not appear to be indicated at this time given the historical data presented.
D)The most appropriate tool for the nurse to use in further assessing the client is the Geriatric Depression Scale. This instrument is designed to assess low mood and diminished self-esteem, as well as loss of interest in activities that the client normally enjoys. The nurse should recognize the need to assess for depression in light of the client's statement, as well as the client's recent MI. (Depression is not uncommon following a major illness like MI.)The other instruments listed here measure other factors that are relevant to the functioning of older adult clients, but they do not appear to be indicated at this time given the historical data presented.

The Nurse Is Assessing an Older Adult Client Who Experienced