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POST SIMULATION QUIZ MENTAL HEALTH CASE GEORGE PALO
WITH VERIFIED QUESTIONS & ANSWERS
1.
Considering Mr. Palo's history and assessment findings, which factor is most
likely the
primary contributor to his recent weight loss?: Your Response: Depression
Rationale: A commonly observed physical response to depression is poor appetite and the resulting weight loss.
Although nausea and vomiting are possible side ettects of galantamine, there are no assessment data to suggest
the
patient
is
experiencing
either.
Both
living
alone
and
dementia
(including
Alzheimer
disease),
especially
in
its
later
stages,
can attect the patient's interest in preparing and eating food, but neither has the high degree of influence
presented
by depression.
2.
Which nursing interventions implemented during Mr. Palo's assessment will assist
him to communicate as effectively as his cognitive deterioration allows?
(Select all that
apply.): Your Response:
Allowing ample time for the patient to respond to questions,
Phrasing questions so as to require simple answers
Arranging for frequent breaks in the assessment process
Providing simple explanations about why questions are being asked
Rationale:The nurse provides simple explanations as often as patients need them, such as "I'm asking these questions
so the statt can see how your health is." It helps to ask simple questions (those that require simple answers) rather
than
compound
questions,
and
to
allow
patients
ample
time
to
answer.
Patients
may
become
confused
or
tire
easily, so
frequent
breaks
in
the
interview
may
be
needed.
Although
it
might
become
necessary
to
rely
on
family
for
answers
to
assessment questions, Mr. Palo appears capable of being the primary information provider. Relying on his daughter at
this point would be nontherapeutic because it would minimize his role in the assessment process.
3.
Which assessment findings would indicate that Mr. Palo is experiencing both
insufficient nutritional and fluid intake? (Select all that apply.): Your Response:
