A nurse is teaching a client who has a terminal illness about hospice care.
Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.).

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.

It is important for the nurse to understand how the adolescent’s health has affected the family dynamics and roles in order to provide appropriate support and care.

Choice B is not the answer because focusing the discussion on the adolescent’s future career plans may not be relevant or appropriate at this time.

Choice C is not the answer because it is important to include the adolescent in the conversation and not avoid discussing their health.

Choice D is not the answer because it is not appropriate for the nurse to ask another family from the same faith congregation to attend the meeting without first discussing it with the adolescent and their family.