The nurse conducts a health history assessment for a client who is depressed. Which question should the nurse include to determine the client’s protective factors for suicide?
Do you have any positive therapeutic relationships?
Have you recently lost your job?
Do you ever use alcohol to help you feel better?
Have you ever been the victim of bullying?
The Correct Answer is A
Choice A reason: Positive therapeutic relationships are protective against suicide, enhancing serotonin-mediated emotional regulation and prefrontal cortex coping mechanisms. Social support reduces amygdala-driven despair, lowering suicide risk by fostering resilience and emotional stability in depressed clients.
Choice B reason: Job loss is a risk factor, not a protective factor, for suicide, increasing stress and cortisol levels, which exacerbate serotonin deficits and amygdala hyperactivity. This question does not identify protective elements that mitigate suicide risk in depression.
Choice C reason: Alcohol use is a risk factor, not protective, as it depresses serotonin and impairs prefrontal cortex judgment, increasing impulsivity and suicide risk. This question does not assess protective factors but rather identifies behaviors that heighten vulnerability.
Choice D reason: Bullying history is a risk factor, contributing to trauma and serotonin dysregulation, increasing suicide risk via amygdala hyperactivity. This question does not identify protective factors like social support that reduce suicide risk in depressed clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Positive therapeutic relationships are protective against suicide, enhancing serotonin-mediated emotional regulation and prefrontal cortex coping mechanisms. Social support reduces amygdala-driven despair, lowering suicide risk by fostering resilience and emotional stability in depressed clients.
Choice B reason: Job loss is a risk factor, not a protective factor, for suicide, increasing stress and cortisol levels, which exacerbate serotonin deficits and amygdala hyperactivity. This question does not identify protective elements that mitigate suicide risk in depression.
Choice C reason: Alcohol use is a risk factor, not protective, as it depresses serotonin and impairs prefrontal cortex judgment, increasing impulsivity and suicide risk. This question does not assess protective factors but rather identifies behaviors that heighten vulnerability.
Choice D reason: Bullying history is a risk factor, contributing to trauma and serotonin dysregulation, increasing suicide risk via amygdala hyperactivity. This question does not identify protective factors like social support that reduce suicide risk in depressed clients.
Correct Answer is D
Explanation
Choice A reason: Hospice requires a prognosis of 6 months or less. COPD with a 2-year life expectancy does not meet this, as the chronic disease allows longer-term management, not immediate palliative care for end-stage illness.
Choice B reason: Type 1 diabetes and substance abuse are not terminal conditions meeting hospice criteria (6 months or less prognosis). These require chronic management, not end-of-life care, as they lack imminent mortality despite complications.
Choice C reason: Multiple sclerosis with depression and pain is chronic, not terminal within 6 months, excluding hospice eligibility. Symptom management, not end-of-life care, is appropriate, as the prognosis does not indicate imminent death.
Choice D reason: Glioblastoma with an 8-10 week prognosis meets hospice criteria (6 months or less). Rapid tumor progression causes neurological decline, requiring palliative care to manage symptoms and support end-of-life needs, aligning with hospice goals.
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