Which assessment finding of an older adult living in an assisted-living facility indicates the highest risk for suicide?

Older adult declines company, is preoccupied with lethal weapons.

Liver failure is due to alcohol abuse, older adult is popular at meals.

Refuses to allow a large, extended family to help him.

The older adult had an overdose of acetaminophen 20 years ago; is in a sewing group.

None of the above.

Answer and Explanation

The Correct Answer is A

Choice A reason: Older adult declines company, is preoccupied with lethal weapons is the highest risk factor for suicide, as it indicates social isolation, hopelessness, and suicidal intent. The older adult may be suffering from depression, anxiety, or other mental health issues that impair their quality of life and increase their likelihood of harming themselves.

Choice B reason: Liver failure is due to alcohol abuse, older adult is popular at meals is not the highest risk factor for suicide, as it does not indicate suicidal ideation or behavior. The older adult may have a chronic medical condition that affects their liver function, but they may also have a supportive social network and coping skills that reduce their risk of suicide.

Choice C reason: Refuses to allow a large, extended family to help him is not the highest risk factor for suicide, as it does not indicate suicidal ideation or behavior. The older adult may have a preference for independence and autonomy, or they may have a strained relationship with their family. However, they may also have other sources of support and meaning in their life that lower their risk of suicide.

Choice D reason: The older adult had an overdose of acetaminophen 20 years ago; is in a sewing group is not the highest risk factor for suicide, as it does not indicate current suicidal ideation or behavior. The older adult may have a history of a suicide attempt, but they may also have recovered from their past crisis and found a positive outlet for their emotions and interests in the sewing group.

Choice E reason: None of the above is not the correct answer, as there is one choice that indicates the highest risk for suicide.

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Correct Answer is C

Explanation

Choice A reason: A nasogastric tube may be necessary for some patients with dysphagia, which is difficulty swallowing, but not for dysarthria, which is difficulty speaking.

Choice B reason: Stems from severe rheumatoid arthritis is false because dysarthria is caused by damage to the nerves or muscles that control speech, not by inflammation of the joints.

Choice C reason: Physical therapy can be beneficial is true because dysarthria can be improved by exercises that strengthen the speech muscles and improve coordination.

Choice D reason: Can affect the balance is false because dysarthria does not affect the vestibular system, which is responsible for balance and spatial orientation.

A. Call 9-11. B. Determine if the client has a history of migraine headaches. C. Give the client a dose of acetaminophen. D. Assure the client the symptoms will resolve within 24 hours.

Correct Answer is A

Explanation

Choice A reason: This action is correct because the client is showing signs of a possible stroke, such as a severe headache and numbness in one side of the body. The nurse should call 9-11 immediately to get the client to the nearest hospital for urgent evaluation and treatment. The nurse should also monitor the client's vital signs, neurological status, and airway until help arrives.

Choice B reason: This action is incorrect because the client's headache and numbness are not likely to be caused by a migraine, but by a stroke. The nurse should not waste time asking about the client's history of headaches, but rather act quickly to get the client to the hospital. The nurse should also not assume that the client's symptoms are benign or familiar, but rather treat them as an emergency.

Choice C reason: This action is incorrect because the client's headache and numbness are not likely to be relieved by acetaminophen, but by a stroke. The nurse should not give the client any medication without a doctor's order, especially if the client has a history of TIA or stroke. The nurse should also not delay calling 9-11 by administering medication, as every minute counts in saving the client's brain cells.

Choice D reason: This action is incorrect because the client's headache and numbness are not likely to resolve within 24 hours, but by a stroke. The nurse should not reassure the client that the symptoms are temporary or harmless, but rather alert the client that they are signs of a serious condition. The nurse should also not delay calling 9-11 by providing false comfort, as the client's condition may worsen rapidly.

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Which assessment finding of an older adult living in an assisted-living facility indicates the highest risk for suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements is true about dysarthria?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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