Mr. Greene is an 85-year-old male placed on a 5150 by the crisis team after his nurse called them. He has taken a fall in his driveway after his dialysis. He has end-stage kidney disease, diabetes, and a history of myocardial infarction 4 years ago. He was living alone until his home health nurse found him crying out in pain, clutching onto his leg in the kitchen. “I’m so tired,” he says.Some yes or no questions on the geriatric depression scale may include (select all that apply):
Do you feel your life is empty?
Are you on a low cholesterol diet?
Have you dropped your activities or interests?
Do you feel happy most of the time?
Correct Answer : A,C,D
Choice A reason:
“Do you feel your life is empty?” is a relevant question on the geriatric depression scale. Feelings of emptiness can indicate depression, especially in older adults who may experience significant life changes and losses.
Choice B reason:
“Are you on a low cholesterol diet?” is not a relevant question for assessing depression. This question pertains to dietary habits and cardiovascular health rather than mental health.
Choice C reason:
“Have you dropped your activities or interests?” is a pertinent question on the geriatric depression scale. A loss of interest in activities that were once enjoyable is a common symptom of depression.
Choice D reason:
“Do you feel happy most of the time?” is a relevant question on the geriatric depression scale. Assessing overall happiness helps identify depressive symptoms, as individuals with depression often report feeling unhappy or sad most of the time.
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Correct Answer is C
Explanation
Choice A reason:
Sleeping 4 hours each night is not an indication that the patient’s mood is improving. In fact, inadequate sleep can be a sign of ongoing depression or anxiety. Recovery from a suicide attempt typically involves improvements in sleep patterns, energy levels, and engagement in daily activities.
Choice B reason:
Showing a lack of energy with activities suggests that the patient is still experiencing depressive symptoms. Recovery from depression and suicidal ideation generally includes an increase in energy and participation in activities.
Choice C reason:
Discussing ways to find an outpatient therapist with a social worker indicates that the patient is taking proactive steps towards recovery. This behavior shows that the patient is engaging in their treatment plan, seeking support, and planning for ongoing care, all of which are positive signs of mood improvement.
Choice D reason:
Refusing to talk to staff or family is a sign that the patient may still be struggling with depressive symptoms and social withdrawal. Effective recovery involves open communication and support from healthcare providers and loved ones.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason:
Supportive friends and family members play a crucial role in the recovery process for individuals with depression. Social support can provide emotional comfort, reduce feelings of isolation, and encourage adherence to treatment plans. Having a strong support network can significantly improve mental health outcomes.
Choice B reason:
Attending outpatient therapy or a partial hospital program offers structured support and treatment for individuals with depression. These programs provide access to mental health professionals, group therapy, and other therapeutic activities that can help manage symptoms and promote recovery. They offer a higher level of care than standard outpatient visits but do not require full hospitalization.
Choice C reason:
Consistent daily structure and exercise that is not overwhelming can help manage depression by providing routine and physical activity. Regular exercise has been shown to improve mood, reduce anxiety, and increase overall well-being. Establishing a daily routine can also help individuals with depression feel more in control and reduce feelings of chaos or unpredictability.
Choice D reason:
A well-balanced diet and restful sleep are essential components of mental health. Proper nutrition supports brain function and overall health, while adequate sleep is crucial for emotional regulation and cognitive function. Addressing these basic needs can help improve mood and energy levels, making it easier to cope with depression.