Which response by a client who has AIDS indicates a risk for suicide?
I know that everything will be better soon.
I don’t want to lose control of my ability to make decisions.
I am relying more and more on my partner for support.
I am afraid of experiencing pain near the end.
The Correct Answer is A
The correct answer is Choice A
Choice A rationale: The statement "I know that everything will be better soon" can indicate a risk for suicide as it may reflect a sense of hopelessness and a belief that death is the only solution to their suffering. This requires immediate attention.
Choice B rationale: Expressing a desire to maintain control over decision-making does not necessarily indicate a risk for suicide. It reflects a concern about autonomy and independence, which is common among individuals with chronic illnesses.
Choice C rationale: Relying more on a partner for support suggests that the client is seeking help and building a support system. This does not indicate a risk for suicide but rather a positive coping mechanism to manage their condition.
Choice D rationale: Fear of experiencing pain near the end is a common concern for individuals with terminal illnesses. While it indicates anxiety about the future, it does not necessarily suggest a risk for suicide. Addressing pain management can help alleviate this fear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Administering oxygen therapy is a specific medical intervention that may not be immediately necessary or appropriate depending on the cause of the symptoms. It would be more appropriate to first establish a triage area to assess the severity of the students’ conditions.
Choice B rationale
Establishing a triage area is the correct immediate action. This allows the nurse to quickly assess the severity of each student’s condition, prioritize care, and determine the appropriate next steps.
Choice C rationale
Notifying the parents of the students might be a subsequent step after assessing the students and determining the cause of the symptoms. However, it should not be the immediate action.
Choice D rationale
Contacting the local health department would be appropriate if there was a suspicion of a public health emergency, such as an outbreak of a communicable disease. However, the immediate action should be to assess the students and provide necessary care.
Correct Answer is B
Explanation
Choice A rationale
While manic behavior can be disruptive and may require intervention, it is not typically life- threatening. Therefore, this client would not be the highest priority in a triage situation following a bombing incident.
Choice B rationale
A rigid abdomen with manifestations of shock could indicate serious internal injuries, such as bleeding or organ damage. This client would be a high priority for treatment due to the potential for rapid deterioration and life-threatening complications.
Choice C rationale
Superficial partial thickness burn injuries over 5% of the body, while painful and requiring treatment, are not typically immediately life-threatening. This client would be a lower priority compared to a client with signs of shock and potential internal injuries.
Choice D rationale
A femur fracture with a 2+ pedal pulse indicates that the client has a serious injury, but it is not immediately life-threatening. The presence of a 2+ pedal pulse suggests that circulation to the foot is still intact. This client would be a lower priority compared to a client with signs of shock and potential internal injuries.
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