A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?
"I am afraid of experiencing pain near the end."
"I don't want to lose control of my ability to make decisions."
"I am relying more and more on my partner for support."
"I know that everything will be better soon."
The Correct Answer is D
A. Fear of pain is a common concern and does not necessarily indicate a risk for suicide.
B. Worrying about losing control over decision-making is a valid concern but not an immediate indicator of suicide risk.
C. Reliance on a partner for support is a coping mechanism and does not indicate a risk for suicide.
D. A statement like "I know that everything will be better soon" can be concerning if it suggests the client is considering ending their life to escape their situation, indicating a potential risk for suicide.
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Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Client 1, diagnosed with streptococcus pyogenes, commonly known as strep throat, is not typically a nationally notifiable condition unless it is part of an outbreak or has other public health implications or causes streptococcal toxic shock syndrome.
B. Elevated blood lead levels are reportable to local health departments due to the severe health risks, especially in children. Lead poisoning is a nationally notifiable noninfectious condition.
C. Herpes zoster (shingles) is not a nationally notifiable condition. It is a reactivation of the varicella-zoster virus, which causes chickenpox, but does not typically require reporting unless there is a significant outbreak or other public health concern.
D. Tuberculosis (TB) is a notifiable disease. The client's symptoms, positive Mantoux test, and travel history are indicative of active TB, which requires reporting to public health authorities for proper tracking and management.
E. Chlamydia is a reportable sexually transmitted infection (STI). Positive tests need to be reported to ensure public health measures can be taken to prevent the spread and provide treatment to affected individuals.
Correct Answer is C
Explanation
A. Access to medical records by the billing department is not typically part of HIPAA without patient consent.
B. HIPAA allows patients to make decisions about who can access their health information, not solely their healthcare provider.
C. Sharing medical information with providers involved in the client's care is consistent with HIPAA privacy rules.
D. Assistive personnel would need specific authorization to access prior admission information under HIPAA.
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