A 49-year-old client is experiencing problems with depression. She has

A 49-year-old client is experiencing problems with depression. She has come to the clinic show-ing signs of malnutrition and fatigue. Which of the following is the best initial statement for the nurse to make in the assessment phase?

1. “How much weight have you lost over the past month?”
2. “Have you recently been experiencing menopausal symptoms?”
3. “Depression is something to expect at your age, and with assistance you will get better.”
4. “Your depression is somewhat uncommon. Can you tell me what has happened recently to cause it?”

ANSWER

ANS: 2
Mood changes and depression are common phenomena during menopause, and this client is in the expected age range to be experiencing menopause. Asking the client about weight loss may be an indication to verify depression; however, it is not the best initial response. Depression is not something to expect, although it can occur. Depression is not uncommon during menopause.