A nurse is teaching a client who is to undergo enzyme-linked immunosorbent assay testing for HIV.
Which of the following information should the nurse include?

Reviewing how the staff implements the plan during a hands-on practice drill is the most comprehensive method for the nurse to use to determine the effectiveness of the disaster plan. This allows the nurse to observe how well the staff understands and follows the plan in a simulated disaster situation.

Choice B is not the best answer because using inservices to have the staff discuss various disaster scenarios does not provide a comprehensive evaluation of the effectiveness of the plan.

Choice C is not the best answer because testing staff to determine their knowledge of the principles of the plan only assesses their theoretical understanding and does not evaluate their ability to implement the plan in practice.

Choice D is not the best answer because analyzing findings from a facility tabletop disaster simulation only provides a limited evaluation of the effectiveness of the plan.

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.