A community health clinic is planning annual goals.
Which of the following outcomes addresses the ethical principle of distributive justice?

The correct answers are choices A, B, and C.

Choice A rationale:

Maintaining the head of the client’s bed in an elevated position after eating can help reduce nausea by preventing gastric reflux and promoting better digestion.This position helps keep stomach contents from moving back up into the esophagus, which can trigger nausea.

Choice B rationale:

Assisting the client in using guided imagery is a beneficial non-pharmacological intervention for managing chemotherapy-induced nausea.Guided imagery involves using mental visualization techniques to create calming and positive images, which can help distract the mind from nausea and reduce its intensity.

Choice C rationale:

Providing sips of room-temperature ginger ale between meals can help alleviate nausea. Ginger has natural antiemetic properties that can help soothe the stomach and reduce nausea.Room-temperature liquids are often easier to tolerate than cold or hot beverages.

Choice D rationale:

Using seasonings to enhance the flavor of foods is not typically recommended for clients experiencing chemotherapy-induced nausea. Strong flavors and smells can sometimes exacerbate nausea rather than alleviate it.Bland, easy-to-digest foods are usually better tolerated.

People living with HIV/AIDS have a much higher risk of suicide than the general population1.Some of the risk factors for suicidal ideation, suicide attempts and suicide deaths in this group are depression, advanced disease, neurological changes, stigma, poor social support, negative life events, physical pain and fear of rejection.

Based on these risk factors, the response by the client that indicates a higher risk for suicide isd. “I am afraid of experiencing pain near the end.”This response suggests that the client has a low perception of their physical health, a fear of losing control and a pessimistic outlook on their future.These are signs of hopelessness, which is a strong predictor of suicide.

The other responses do not necessarily indicate a high risk for suicide, although they may reflect some challenges that the client is facing. For example, response a. may indicate a desire for autonomy and dignity, response b. may indicate a coping strategy or denial, and response c. may indicate a source of emotional support or dependency. However, these responses do not imply that the client is thinking about harming themselves or ending their life.

Therefore, the home health nurse should assess the client’s level of hopelessness, suicidal ideation and suicide plan, and provide appropriate interventions and referrals to prevent a possible suicide attempt. The nurse should also monitor the client’s mood, pain, medication adherence and social support, and offer education, counseling and resources to improve the client’s quality of life.