Registered Practical Nurse (RPN) Practice Test

What critical information must the nurse assess in a 78-year-old man admitted for depression?

1. Employment status

2. Suicidal thoughts

3. Family history

4. Social interactions

The correct answer is: Suicidal thoughts

In assessing a 78-year-old man admitted for depression, evaluating suicidal thoughts is paramount. This age group can be particularly vulnerable to severe depression, and the risk of suicide increases with age, especially if there are coexisting medical conditions or social isolation. Therefore, identifying suicidal ideation is crucial for initiating timely interventions that may include safety planning, psychiatric evaluation, and possibly increasing the level of care. While factors such as employment status, family history, and social interactions can contribute valuable context to the patient's overall well-being and treatment plan, they do not carry the same immediate risk implications as assessing suicidal thoughts. Understanding the presence or absence of suicidal ideation can guide the nurse in determining the necessary level of supervision and support for the patient, ensuring their safety during hospitalization and in future care planning.