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A 68 yo man who recently retired states he is not his usual self, has poor appetite and low energy. Physical findings were within normal limits. The priority nursing intervention is to

a. encourage the patient to seek diversional activities
b. assess the patient for depression
c. ask the patient if he has access to firearms
d. refer the patient to a dietitin for counseling

User Jigar Shah
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1 Answer

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Final answer:

The patient's symptoms of poor appetite, low energy, and altered mood indicate a potential depressive state, emphasizing the need for a thorough mental health assessment to address underlying issues and provide appropriate interventions, thus the correct option is b. assess the patient for depression.

Step-by-step explanation:

Assessing the patient for depression is the priority nursing intervention. While the physical findings are within normal limits, the patient's altered mental state, poor appetite, and low energy are indicative of potential mental health issues. Depression can significantly impact overall well-being, and early identification and intervention are essential for effective care.

Depression in the elderly can manifest differently, often with somatic complaints rather than overtly emotional symptoms. The nurse should conduct a thorough assessment, including a mental health evaluation, to explore the underlying factors contributing to the patient's change in behavior. This may involve using standardized depression screening tools, engaging in open communication with the patient, and collaborating with other healthcare professionals if needed.

By prioritizing the assessment for depression, the nurse can identify the root cause of the patient's symptoms and tailor interventions accordingly. This may involve implementing appropriate mental health support, counseling, or referral to a mental health professional. Addressing mental health concerns is crucial in promoting the overall well-being of the patient during the retirement transition, ensuring a holistic approach to care that goes beyond physical health assessments.

User Buchi
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