A nurse observes that an older client is laughing forcefully when describing the strain of caring for the spouse, who has Alzheimer's disease. The client states that neither one of them goes to church or participates in any social events any longer. Other than caring for the person with Alzheimer's disease, the spouse spends much free time sleeping. The nurse would need to assess this client more for (Select all that apply)
A) changes in appetite.
B) decreased ability to concentrate.
C) excessive spending sprees.
D) feeling guilt or hopelessness.
E) suicidal thoughts.

Question

Quizplus · Accepted Answer

All the correct options point to depression, which the nurse suspected when the client related a decrease in usual activities and socialization, and increased sleeping. Excessive spending sprees might be seen in someone with bipolar disorder during the manic phase.

A Nurse Observes That an Older Client Is Laughing Forcefully