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 don't want to lose control of my ability to make decisions."

"I am afraid of experiencing pain near the end."

"I know that everything will be better soon."

"I am relying more and more on my partner for support."

Answer and Explanation

The Correct Answer is C

A. "I don't want to lose control of my ability to make decisions." This statement reflects a fear of losing autonomy, which is common among individuals with chronic illnesses. While it indicates anxiety and concern about the future, it does not directly suggest suicidal ideation.

B. "I am afraid of experiencing pain near the end." This response shows a fear of suffering and pain, which is also common in terminal illnesses. Although it indicates distress, it does not necessarily imply a risk for suicide.

C. "I know that everything will be better soon." This statement can be a red flag for suicidal ideation, as it may imply that the person believes death is imminent or that they have a plan to end their suffering. It suggests a sense of hopelessness and a potential desire to escape their current situation.

D. "I am relying more and more on my partner for support." This response indicates a need for increased support and dependency on a partner. While it shows a reliance on others, it does not directly suggest suicidal thoughts or intentions.

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Correct Answer is A

Explanation

Choice A reason: This statement is true and relevant. Advance directives are legal documents that allow the client to express their wishes and preferences regarding their health care in case they become unable to communicate or make decisions. They ease the difficult decisions faced by those involved in the client's care, such as family members, health care providers, and legal representatives.

Choice B reason: This statement is false and misleading. Advance directives do not decrease the potential for receiving palliative care, but rather enable the client to choose whether they want to receive it or not. Palliative care is a type of care that focuses on relieving pain and suffering and improving quality of life for clients with serious or terminal illnesses.

Choice C reason: This statement is partially true, but not the best answer. Advance directives help to uphold the ethical principle of veracity, which means telling the truth and respecting the client's autonomy and dignity. However, advance directives also help to uphold other ethical principles, such as beneficence, nonmaleficence, and justice.

Choice D reason: This statement is false and misleading. Advance directives do not detail the doctor's decisions about the client's end-of-life care, but rather detail the client's own decisions and preferences. The doctor's role is to respect and follow the client's wishes as much as possible, unless they conflict with the law or profession

A. "Describe the place where you are currently living." B. "Apply moisture barrier ointment three times a day." C. "A social worker can help you with the cost of supplies." D. "Eat a balanced diet with high-protein snacks."

Correct Answer is A

Explanation

Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.

Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.

Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.

Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.

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A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?

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Naxlex Comprehensive Predictor Exams

A community health nurse is discussing advance directives with a client. The nurse should identify that which of the following statements made by the client indicates an understanding of the purpose of advance directives?

Correct Answer is A

Explanation

A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

Correct Answer is A

Explanation

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