A nurse is collecting data from a client who reports manifestations of depression. Which of the following findings should the nurse identify as a risk factor for suicide?

The client is married and has children.

The client has a strong religious affiliation.

The client recently received a pay raise at work.

The client has a history of chronic back pain.

Answer and Explanation

The Correct Answer is D

Choice A reason: Being married with children often buffers suicide risk by providing social support and purpose, reducing isolation—a key factor in depression. Scientifically, strong familial ties correlate with lower rates, making this a protective, not risk-enhancing, element in mental health assessments.

Choice B reason: Strong religious affiliation typically lowers suicide risk, as faith offers coping mechanisms and community, countering despair. Scientifically, studies show religiosity inversely relates to suicide, acting as a protective factor, not a contributor, in depression-related risk evaluations.

Choice C reason: A recent pay raise suggests improved financial stability, reducing stress—a suicide risk factor. Positive life events like this bolster resilience in depression, not heighten risk. Scientifically, this aligns with lower suicidal ideation, making it a protective rather than aggravating circumstance.

Choice D reason: Chronic back pain increases suicide risk in depression, as persistent pain erodes quality of life, amplifying hopelessness. Scientifically, chronic conditions correlate with higher rates, as physical suffering compounds psychological distress, making this a significant risk factor per mental health research.

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Correct Answer is B

Explanation

Choice A reason: Explaining pros and cons informs but may pressure the client. Supporting autonomy respects their choice, aligning with lung cancer end-of-life preferences better.

Choice B reason: Supporting the client’s DNR decision upholds autonomy and aids communication. In lung cancer, respecting end-of-life wishes is critical, making this the best response.

Choice C reason: Involving a social worker delegates support, not directly honoring the client’s wish. Nurses should first affirm autonomy in such terminal cancer scenarios.

Choice D reason: Suggesting family discussion undermines autonomy, adding burden. The client’s decision in advanced cancer should be respected without implying external validation needs.

A. Offer the client several choices at mealtimes. B. Alternate daily caregivers. C. Avoid discussing the client’s fears. D. Remind the client of the day and time often.

Correct Answer is D

Explanation

Choice A reason: Offering multiple choices overwhelms a delirious client, whose impaired cognition struggles with decisions. Scientifically, delirium reduces attention and processing, so simplifying options aids comfort, making this counterproductive to managing their acute confusional state effectively.

Choice B reason: Alternating caregivers disrupts continuity, worsening disorientation in delirium. Consistent faces aid recognition, reducing anxiety. Scientifically, familiarity stabilizes perception in acute confusion, making this detrimental to the client’s need for a predictable environment during recovery.

Choice C reason: Avoiding fears ignores emotional distress, potentially increasing agitation in delirium. Addressing concerns gently can calm. Scientifically, unaddressed anxiety exacerbates confusion, so this neglects a holistic approach needed for managing the client’s psychological state effectively.

Choice D reason: Reminding of day and time reorients the client, countering delirium’s disorientation. Frequent cues anchor perception, aiding recovery. Scientifically, this aligns with evidence-based care, as repeated orientation reduces confusion’s impact, supporting cognitive stabilization in acute delirium management.

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A nurse is collecting data from a client who reports manifestations of depression. Which of the following findings should the nurse identify as a risk factor for suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has lung cancer. The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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