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    Ati nur 528 med surg proctored exam (geriatrics)

    Mrs. Johnson continued: Mrs. Johnson is an 82-year-old widow living alone in her two-story home. She has a history of hypertension, osteoarthritis, and mild cognitive impairment. Mrs. Johnson prefers to age in place and maintain her independence. She receives weekly visits from a home health aide and occasional help from her daughter, who lives nearby. During a routine visit, the home health aide notes that Mrs. Johnson has had a few minor falls recently and has been forgetting to take her medications on time. She also appears to have lost some weight and seems more withdrawn than usual. Given Mrs. Johnson's recent weight loss and withdrawal, which action should be prioritized to address her nutritional status?

    Explanation & Rationale

    A. Initiate a home-delivered meal service: Helpful, but should come after understanding the root cause of her weight loss and withdrawal. B. Refer her to a mental health professional for depression screening: Important, but only one part of a broader picture. Depression may be a factor, but not the sole cause. C. Encourage her daughter to cook and bring meals: Might help, but again, this is a solution before full assessment. D. Conduct a comprehensive geriatric assessment: This will evaluate multiple domains: nutritional, cognitive, emotional, functional, and social-all of which could be contributing to her condition.

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