A home health nurse is assessing a client with 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 D
People living with HIV/AIDS have a much higher risk of suicide than the general population1. Some of the risk factors for suicidal ideation, suicide attempts and suicide deaths in this group are depression, advanced disease, neurological changes, stigma, poor social support, negative life events, physical pain and fear of rejection.
Based on these risk factors, the response by the client that indicates a higher risk for suicide is d. “I am afraid of experiencing pain near the end.” This response suggests that the client has a low perception of their physical health, a fear of losing control and a pessimistic outlook on their future. These are signs of hopelessness, which is a strong predictor of suicide.
The other responses do not necessarily indicate a high risk for suicide, although they may reflect some challenges that the client is facing. For example, response a. may indicate a desire for autonomy and dignity, response b. may indicate a coping strategy or denial, and response c. may indicate a source of emotional support or dependency. However, these responses do not imply that the client is thinking about harming themselves or ending their life.
Therefore, the home health nurse should assess the client’s level of hopelessness, suicidal ideation and suicide plan, and provide appropriate interventions and referrals to prevent a possible suicide attempt. The nurse should also monitor the client’s mood, pain, medication adherence and social support, and offer education, counseling and resources to improve the client’s quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B: "You should have a complete eye examination every 2 years until the age of 64."
Choice B rationale: The American Academy of Ophthalmology recommends that adults with no risk factors or symptoms of eye disease have a comprehensive eye examination at least once between the ages of 20 and 29, and at least twice between the ages of 30 and 39. For individuals aged 40 to 64, they should have a comprehensive eye examination every 2 to 4 years. The recommendation for those 65 and older is an examination every 1 to 2 years. This choice aligns with the general guidelines for comprehensive eye examinations.
Choice A rationale: The American Diabetes Association recommends screening for diabetes in individuals with risk factors or at least every 3 years for those over 45 years old. This recommendation differs from the suggestion in choice A, making it a less accurate option.
Choice C rationale: Hearing screening for adults over 50 years old should be conducted every 3 to 5 years, according to general guidelines. Choice C suggests a hearing screening every 5 years, which is at the upper end of the recommended range, but it is not the most appropriate option provided.
Choice D rationale: The American Cancer Society recommends that adults with an average risk for colorectal cancer should begin screening at age 45, with stool testing being one possible screening method. However, this recommendation differs from the statement provided in choice D, making it incorrect.
Correct Answer is A
Explanation
This intervention is a secondary prevention strategy because it involves screening and early intervention to address potential mental health concerns among disaster survivors.
Choices B, C, and D are not secondary prevention strategies.
Publishing a listing of shelter locations in local media sources (choice B) is a primary prevention strategy because it involves providing information to the public before a disaster occurs.
Providing age-appropriate activities for shelter residents (choice C) and compiling resources available to transition individuals from shelters to a home (choice D) are tertiary prevention strategies because they involve providing support and resources to individuals who have already been affected by a disaster
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