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

A. "I don't want to lose control of my ability to make decisions." This statement expresses a fear of losing autonomy, which is a common concern for individuals with chronic illnesses. It does not directly indicate a risk for suicide.

B. "I know that everything will be better soon." This statement can be a red flag, as it might suggest that the client has lost hope and may be contemplating suicide as a way to make things "better" in their mind.

C. "I am relying more and more on my partner for support." This response indicates that the client is seeking and receiving support from their partner. While it shows a need for assistance, it does not imply suicidal ideation.

D. "I am afraid of experiencing pain near the end." This statement reflects a fear of future pain and suffering, which is a valid concern for individuals with terminal illnesses. While it does not directly indicate a risk for suicide, it is essential to address pain management and provide reassurance to the client about end-of-life care.

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Correct Answer is B

Explanation

A. Providing education about safety and injury prevention for employees: This is an example of primary prevention, as it aims to prevent injuries before they occur by educating employees about safety measures.

B. Screening employees who were exposed to high levels of noise for hearing loss: This is correct. Screening employees who have been exposed to high noise levels is a form of secondary prevention. It involves early detection of potential health issues (hearing loss in this case) to prevent further progression and complications.

C. Providing nutrition education to employees who have a BMI of greater than 30: This is an example of tertiary prevention, as it addresses individuals who already have a health condition (high BMI) by providing education to prevent complications or manage the condition.

D. Coordinating disaster planning efforts at the factory: This is not an example of prevention but rather preparedness. Disaster planning focuses on preparing for potential emergencies but doesn't fall into the categories of primary, secondary, or tertiary prevention.

A. Initiate topics of conversation that avoid the client's health status. B. Recommend the client seek out hospice services rather than seek treatment. C. Place the client's name and medical condition on an online prayer chain. D. Provide quiet time during visits for prayer or meditation

Correct Answer is D

Explanation

A. Initiate topics of conversation that avoid the client's health status.

Explanation: Avoiding discussions about the client's health status may hinder open communication and the expression of the client's feelings and concerns. It is essential to provide an opportunity for the client to discuss their thoughts and emotions if they wish to do so.

B. Recommend the client seek out hospice services rather than seek treatment.

Explanation: While hospice services may be appropriate for end-stage cancer care, recommending hospice should be based on a comprehensive assessment of the client's wishes and needs. The decision to pursue treatment or hospice is a personal one, and the nurse should support the client's choices after thorough discussion.

C. Place the client's name and medical condition on an online prayer chain.

Explanation: Privacy and confidentiality are critical in healthcare. Sharing the client's name and medical condition on an online platform may compromise confidentiality. It's essential to respect the client's privacy and obtain their consent before sharing personal information.

D. Provide quiet time during visits for prayer or meditation.

Explanation: Providing quiet time during visits for prayer or meditation recognizes the spiritual and emotional needs of the client. It allows the client to engage in activities that bring comfort, peace, and reflection. Creating a supportive and contemplative environment aligns with the holistic care approach, acknowledging the importance of spiritual well-being during the end-of-life journey.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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