A home health nurse is educating a client who has COPD and is to start using home oxygen via nasal cannula

Which of the following statements should the nurse identify as an indication that the client understands the teaching?

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 isd. “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.

Secondary prevention aims to reduce the impact of a disease or injury that has already occurred. This is done by detecting and treating disease or injury as soon as possible to halt or slow its progress, encouraging personal strategies to prevent reinjury or recurrence, and implementing programs to return people to their original health and function to prevent long-term problems1. Referring a client who is recovering from a substance use disorder to a social service program is an example of secondary prevention because it encourages personal strategies to prevent recurrence.

Choice A is not the correct answer because providing a smoking cessation class is an example of primary prevention, which aims to prevent disease or injury before it ever occurs1.

Choice C is not the correct answer because advocating for laws that prohibit texting while driving is also an example of primary prevention1.

Choice D is not the correct answer because encouraging a pregnant client to participate in prenatal care is an example of primary prevention1.