A nurse is reviewing the psych social assessments of four older adult residents in an assisted-living facility. Which resident should the nurse identify as having the highest suicide risk?
An 82-year-old male with a recent spouse death who says, "There's nothing left for me now" and has given away personal items
A 75-year-old female who has chronic arthritis and reports feeling isolated after her sister moved away
A 79-year-old male recently diagnosed with diabetes who expresses concern about managing medications
An 80-year-old female with vision loss who attends group activities but occasionally cries during them
The Correct Answer is A
A. An 82-year-old male with a recent spouse death who says, "There's nothing left for me now" and has given away personal items: This client demonstrates multiple red flags for suicide, including recent bereavement, hopelessness, and giving away possessions, which is a strong indicator of suicidal intent.
B. A 75-year-old female who has chronic arthritis and reports feeling isolated after her sister moved away: While chronic pain and social isolation increase vulnerability to depression, there are no explicit signs of suicidal planning or intent.
C. A 79-year-old male recently diagnosed with diabetes who expresses concern about managing medications: This client shows normal adjustment stress related to a new chronic illness but does not express suicidal thoughts, or behaviors suggestive of imminent risk.
D. An 80-year-old female with vision loss who attends group activities but occasionally cries during them: This client may be grieving and experiencing situational sadness due to sensory loss, but her engagement in group activities suggests coping and resilience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Use adult diapers to prevent frequent clothing changes: While diapers can keep the client clean, they do not address the underlying incontinence behavior. Overreliance may reduce dignity and does not promote bladder training or independence.
B. Take the client to the bathroom every 2 hr: A scheduled toileting program is effective for clients with dementia who cannot recognize or communicate their need to void. Regular bathroom trips reduce incontinence episodes and preserve comfort and dignity.
C. Remind the client to tell the nurse when he has to urinate: Clients with dementia often have impaired memory and communication, making it unrealistic to expect them to consistently verbalize their needs.
D. Request a prescription for an indwelling urinary catheter: Indwelling catheters carry significant risks such as infection, skin breakdown, and reduced mobility. They should only be used for specific indications, not routine management of dementia-related incontinence.
Correct Answer is D
Explanation
A. The systematic elimination of the culture of another resulting in decreased wellness: This describes cultural assimilation or cultural suppression, which may affect wellness, but it is not the definition of health disparity.
B. Health equity: Health equity refers to the principle of providing fair opportunities for all individuals to achieve their highest level of health. It is the goal of reducing disparities, but it is not the definition of a disparity itself.
C. The difference between an expected incidence and prevalence and that which actually occurs in a comparison population group: This relates more to epidemiological measures and statistical variance rather than the broader concept of disparities in health outcomes.
D. Differences in health outcomes between groups: Health disparity is best defined as measurable differences in health outcomes or healthcare access between population groups, often influenced by social, economic, and environmental factors.
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