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 C

Explanation

Choice A reason: This is incorrect. Clostridium difficile is a bacterium that causes an infection of the colon, which can result in diarrhea, abdominal pain, and fever¹. Clostridium difficile is transmitted by contact with fecal matter or contaminated surfaces². Therefore, it requires contact precautions, not airborne precautions³.

Choice B reason: This is incorrect. Influenza is a viral infection that affects the respiratory tract, causing symptoms such as fever, cough, sore throat, and muscle aches⁴. Influenza is transmitted by respiratory droplets that are generated by coughing, sneezing, or talking⁵. Therefore, it requires droplet precautions, not airborne precautions³.

Choice C reason: This is correct. Disseminated herpes zoster is a widespread form of shingles that affects multiple areas of the skin and can involve the internal organs⁶. Shingles is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox⁷. Disseminated herpes zoster is transmitted by airborne particles that contain the virus, or by direct contact with the lesions⁶. Therefore, it requires airborne precautions, as well as contact precautions³.

Choice D reason: This is incorrect. Respiratory syncytial virus (RSV) is a common respiratory virus that causes mild to severe infections of the lungs and airways, especially in infants and young children⁸. RSV is transmitted by respiratory droplets, or by contact with contaminated surfaces or secretions⁹. Therefore, it requires contact precautions, and sometimes droplet precautions, but not airborne precautions³.

A. Assemble an emergency disaster response team. B. Evaluate the effectiveness of local disaster-preparedness drills. C. Identify the community's risks and capabilities. D. Provide education about first aid and triage.

Correct Answer is C

Explanation

Choice A reason: Assembling an emergency disaster response team is not the first action to take when developing a disaster-preparedness plan. The nurse should first assess the community's needs and resources before forming a team.

Choice B reason: Evaluating the effectiveness of local disaster-preparedness drills is not the first action to take when developing a disaster-preparedness plan. The nurse should first identify the potential hazards and vulnerabilities of the community before conducting or reviewing any drills.

Choice C reason: Identifying the community's risks and capabilities is the first action to take when developing a disaster-preparedness plan. The nurse should perform a comprehensive assessment of the community's strengths, weaknesses, opportunities, and threats (SWOT) related to disaster management.

Choice D reason: Providing education about first aid and triage is not the first action to take when developing a disaster-preparedness plan. The nurse should first determine the learning needs and preferences of the community before designing and implementing any educational programs.

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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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