The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000.
Based on this demographic information, which additional information is important for the nurse to assess?

Answer and explanation

The correct answer is Choice A.

Choice A rationale

Severe life stresses at any age can indeed increase the risk of suicide????. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide. This can include a wide range of stressors, such as relationship problems, financial difficulties, job loss, or serious health issues?.

Choice B rationale

While it is true that socioeconomic disadvantage is associated with higher rates of suicide¹³, it is not accurate to say that suicides predominantly occur in lower socioeconomic groups.

Suicide is a complex issue that can affect individuals across all socioeconomic strata. Factors such as mental health conditions, substance abuse, and access to lethal means also play significant roles¹.

Choice C rationale

Robust social support systems can indeed help prevent suicide¹?¹?¹?¹?¹?. Social support can provide individuals with a sense of belonging, improve their mood and outlook, and reduce feelings of isolation. It can also provide a safety net for individuals in crisis, offering them resources and interventions that can help mitigate suicide risk¹?¹?¹?¹?¹?.

Choice D rationale

The assertion that discussing suicide with individuals suffering from depression can be hazardous is not entirely accurate??[^10^]. While it is crucial to approach such discussions with sensitivity and care, open conversations about suicide can help identify individuals at risk and ensure they receive the help they need. It is essential, however, that these discussions are conducted by trained professionals who can provide appropriate support and referrals??[^10^].

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While reminding drivers to wear seatbelts is important for overall road safety, it does not directly enhance the safety of children walking to and from school.

Choice B rationale

Advising residents to keep their porch lights on can improve visibility during hours of low light. However, this measure may not significantly enhance the safety of children walking to and from school during daylight hours.

Choice C rationale

Encouraging residents to have their homes inspected for high lead levels is important for overall community health, but it does not directly impact the safety of children walking to and from school.

Choice D rationale

Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.