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 ["A","B","C","E"]

Explanation

Choice A reason: Heart failure can cause fluid retention, which can lead to dehydration if the fluid is not properly balanced.

Choice B reason: Functional impairments can limit the ability to drink or access fluids, which can increase the risk of dehydration.

Choice C reason: Longitudinal furrows on the tongue are a sign of dehydration, as the tongue loses moisture and becomes dry and cracked.

Choice D reason: Hypertension is not directly related to dehydration, although it can be affected by fluid intake and electrolyte balance.

Choice E reason: Diabetes can cause increased urination, which can lead to dehydration if the fluid loss is not replaced.

A. Empowering older adults to manage chronic illness B. Coordinating members of the health care team C. Facilitating access to elder care programs D. Assessing older adults effectively

Correct Answer is B

Explanation

Choice A reason: Empowering older adults to manage chronic illness is a way of promoting self-care and autonomy, but it is not a specific example of leadership in the care of older people.

Choice B reason: Coordinating members of the health care team is a way of demonstrating leadership in the care of older people, as it involves communication, collaboration, and delegation of tasks among different professionals and disciplines.

Choice C reason: Facilitating access to elder care programs is a way of providing resources and support for older people, but it is not a direct example of leadership in the care of older people.

Choice D reason: Assessing older adults effectively is a way of ensuring quality and safety in the care of older people, but it is not a unique example of leadership in the care of older people.

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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

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