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 A
Explanation
Choice A, This action is crucial for preventing the spread of MRSA, which is commonly found in wounds and can be transmitted through contact with contaminated dressings. Double-bagging ensures that the contaminated material is securely contained, reducing the risk of transmission.
Choice B, Removing fresh flowers is a general precaution often taken in hospital settings to reduce the risk of infections for immunocompromised patients. However, it is not specifically necessary for managing MRSA in a home environment unless the client has a significantly weakened immune system and is at risk for opportunistic infections..
Choice C,HEPA filters are used to improve air quality by removing particulates, allergens, and some pathogens. However, MRSA is typically spread through direct contact or contaminated surfaces, not through the air, so this measure is not specifically effective for MRSA prevention.
Choice D,MRSA is primarily spread through direct contact with infected wounds or contaminated surfaces, rather than through respiratory droplets. Therefore, wearing a mask within 3 feet of the client is not typically required for MRSA unless the client has a respiratory infection with MRSA. The focus should be on contact precautions rather than droplet precautions.
Correct Answer is A
Explanation
Nurses should withhold the name of the client who has an STI during partner notification. This statement indicates an understanding of the importance of maintaining client confidentiality while also ensuring that partners are notified of their potential exposure to an STI.
Choice B is not the best answer because it is not Congress that mandates the requirements for STI reporting, but rather the Centers for Disease Control and Prevention (CDC).
Choice C is not the best answer because state health departments report selected STIs to the CDC, not to the National Institutes of Health.
Choice D is not the best answer because clients who have STIs are not legally required to provide a list of sexual partners, although they may be encouraged to do so voluntarily.
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