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Practice Question

A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?

Answer Choices:

Correct Answer:

Geriatric Depression Scale

Rationale:

📍The Geriatric Depression Scale is specifically designed to assess for depression in older adults, who may not always show classic signs of depression, and is essential in identifying mood disorders that can affect their overall well-being.

📍Pain Assessment in Advanced Dementia Scale is used to assess pain in individuals with advanced dementia, not for general depression screening in older adults.

📍The CAGE Questionnaire is used to screen for alcohol use disorder rather than depression, and the Denver II Developmental Screening Test is designed for children, not adults.

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This question is from RN Mental Health-2023 Exam 2 which contains 54 questions.

More Questions from This Exam
A nurse is caring for a client who states, "l am too embarrassed to tell anyone what I did last night." Which of the following responses should the nurse make?

Answer Choices:

A. "Let's discuss what you feel embarrassed about."
B. "You will feel better if you tell me what you did last night."
C. "You shouldn’t feel embarrassed to talk to me."
D. "Lots of people feel ashamed to tell their secrets."
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?

Answer Choices:

A. "Can you tell me how you have been feeling lately?"
B. "Why did you feel like giving away your belongings?"
C. "Everyone feels a little down sometimes."
D. "You should find a support group to attend."
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?

Answer Choices:

A. Sodium 140 mEq/L (136 to 145 mEq/L)
B. WBC count 6,000/mrn3 (5,000 to 10,000/mm3)
C. Blood glucose 256 mg/dL (74 to 106 mg/dL)
D. Platelets 250,000/mm3 (150,000 to 400,000/mm3)
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?

Answer Choices:

A. Document the client’s behavior every 60 minutes.
B. Keep the client in seclusion for no longer than 6 hours.
C. Obtain a prescription for seclusion within 30 minutes.
D. Monitor the client’s vital signs every 4 hours.
From Exam
RN Mental Health-2023 Exam 2

54 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Mental Health
  • Answer Choices: 4
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