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 know that everything will be better soon."

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

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

Answer and Explanation

The Correct Answer is B

Choice A is wrong because, "I don't want to lose control of my ability to make decisions," does not indicate a risk for suicide but rather a fear of losing autonomy or control over one's life.

This statement can be a red flag for suicidal ideation. It may suggest that the client has a plan to end their life, believing that death will bring relief or improvement to their situation.

This statement indicates that the client is seeking and accepting support from others, which is generally a positive coping mechanism and does not indicate a risk for suicide.

While this statement indicates fear and anxiety about the progression of the disease, it does not necessarily indicate a risk for suicide. It's a common concern among individuals with terminal illnesses.

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Correct Answer is C

Explanation

The correct answer is Choice C because, "Review the immunization records of the child's classmates." Koplik spots are a sign of measles, a highly contagious viral illness. Reviewing the immunization records of the child's classmates can help determine if there is an outbreak and assist in preventing further spread of the illness. Checking the child's classmates for parotid gland enlargement (Choice A is wrong because) is not relevant because it is a sign of mumps, a different illness. Asking the caregivers if the child recently used alcohol-based mouthwash (Choice B is wrong because) and instructing the caregivers to increase the child's Vitamin B12 intake (Choice D is wrong because) are not relevant because they do not relate to the presence of Koplik spots.

Choice A is wrong because: Checking the child's classmates for parotid gland enlargement is not relevant because it is a sign of mumps, not measles.

Choice B is wrong because: Asking the caregivers if the child recently used alcohol-based mouthwash is not relevant to the presence of Koplik spots.

Choice D is wrong because: Instructing the caregivers to increase the child's Vitamin B12 intake is not relevant to the presence of Koplik spots.

A. Clients will start hormone replacement therapy. B. Clients will significantly decrease caloric intake. C. Clients will schedule bone density screenings. D. Clients will arrange for mammograms every 3 years.

Correct Answer is C

Explanation

The correct answer is Choice C because, "Clients will schedule bone density screenings." Postmenopausal women are at an increased risk for osteoporosis, and bone density screenings can help identify early signs of the disease, enabling early intervention to prevent complications.

Choice A is wrong because, "Clients will start hormone replacement therapy," is not the correct answer because hormone replacement therapy is not appropriate for all women and can have

negative side effects. It is not an appropriate outcome for an educational program.

Choice B is wrong because, "Clients will significantly decrease caloric intake," is not the correct answer because this outcome is not relevant to postmenopausal women specifically. Additionally, significant caloric restriction can lead to malnutrition and other negative health outcomes.

Choice D is wrong because, "Clients will arrange for mammograms every 3 years," is not the correct answer because while mammograms are an important screening tool for breast cancer, they are not specific to postmenopausal women and should be recommended to all women starting at age 40. Bone density screenings are a more appropriate outcome for a program specifically targeting postmenopausal women.

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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 school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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