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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Notify spiritual support personnel about a client who requests a visit.
While spiritual support is essential for some patients, it is not the priority in this situation where the focus is on physical and functional recovery after hip arthroplasty.
B. Ask social services to inform a client about community support organizations.
Community support organizations are valuable, but the immediate concern for a post-hip arthroplasty patient is more about the physical and rehabilitation aspects.
C. Request a dietitian consult for a client who asks for information about a vegan diet.
Dietary concerns are important, but in the context of post-hip arthroplasty, the primary focus is on activity restrictions and rehabilitation.
D. Inform the physical therapist of activity restrictions for a client following a hip arthroplasty.
This is the priority action. After a hip arthroplasty, restrictions on certain activities and the need for rehabilitation and physical therapy are crucial for the patient's recovery and prevention of complications.
Correct Answer is C
Explanation
A. "I apologize for the dishes piling up in the kitchen sink":
Apologizing for the dishes piling up may indicate a sense of stress or feeling overwhelmed, rather than adapting positively to the caregiving role.
B. "I am still trying to rearrange the furniture so they can use their walker":
While rearranging furniture to accommodate the client's needs is helpful, it doesn't necessarily reflect adaptation to the caregiver role in terms of self-care or seeking external support.
C. "I have a neighbor coming over so I can go get my hair cut and styled."
This statement suggests that the caregiver is seeking support from a neighbor, allowing them to take a break and prioritize self-care by getting their hair cut and styled. Seeking assistance and taking time for personal well-being indicate an adaptive approach to the caregiving role.
D. "I will need financial assistance if I don't get back to my job soon":
Expressing a need for financial assistance due to the inability to return to work may suggest financial concerns but doesn't directly indicate adaptation to the caregiving role. Adaptation involves finding effective ways to manage the caregiving responsibilities while addressing personal needs.
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