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: Allergies to dairy are not commonly associated with the development of cardiovascular comorbidities for those diagnosed with type 2 diabetes, as they do not directly affect the blood glucose levels, blood pressure, or cholesterol levels. However, allergies to dairy may limit the dietary choices and nutritional intake of some individuals with type 2 diabetes.

Choice B reason: History of hypothyroidism is not commonly associated with the development of cardiovascular comorbidities for those diagnosed with type 2 diabetes, as it does not cause insulin resistance, hyperglycemia, or inflammation. However, hypothyroidism may increase the risk of obesity, dyslipidemia, and hypertension, which are risk factors for cardiovascular disease.

Choice C reason: Alcohol use is commonly associated with the development of cardiovascular comorbidities for those diagnosed with type 2 diabetes, as it can affect the blood glucose levels, blood pressure, and cholesterol levels. Alcohol can also interfere with the action of insulin and oral diabetes medications, increase the appetite and calorie intake, and damage the liver and pancreas.

Choice D reason: Chronic constipation is not commonly associated with the development of cardiovascular comorbidities for those diagnosed with type 2 diabetes, as it does not directly impact the blood glucose levels, blood pressure, or cholesterol levels. However, chronic constipation may indicate poor dietary habits, dehydration, or medication side effects, which may affect the overall health and well-being of individuals with type 2 diabetes.

Choice E reason: None of the above is not the correct answer, as there is one choice that is commonly associated with the development of cardiovascular comorbidities for those diagnosed with type 2 diabetes.

A. Ask about the circumstances behind the fall(s). B. Assess for any injuries the client might have. C. Evaluate the client for gait and balance. D. Ask about the history or frequency of falls.

Correct Answer is ["A","D"]

Explanation

Choice A reason: Asking about the circumstances behind the fall(s) can help you identify the possible risk factors and causes of the fall(s), such as environmental hazards, medications, chronic conditions, or acute illnesses. Asking about the circumstances can also help you determine the severity and urgency of the situation, and whether the client needs further evaluation or referral.

Choice B reason: Assessing for any injuries the client might have is important, but it is not the first thing you should do after a client reports a fall. You should first ask about the circumstances to rule out any life-threatening or serious injuries that may require immediate attention. Assessing for injuries is part of the comprehensive fall risk assessment that should be done after the initial screening.

Choice C reason: Evaluating the client for gait and balance is also important, but it is not the first thing you should do after a client reports a fall. You should first ask about the circumstances to rule out any underlying medical conditions that may affect the client's gait and balance. Evaluating gait and balance is part of the comprehensive fall risk assessment that should be done after the initial screening.

Choice D reason: Asking about the history or frequency of falls can help you assess the client's fall risk and identify any patterns or trends in the client's fall history. Asking about the history or frequency of falls can also help you tailor the appropriate interventions and prevention strategies for the client.

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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 factor is commonly associated with the development of cardiovascular comorbidities for those diagnosed with type 2 diabetes?

Correct Answer is C

Explanation

During an assessment, an older adult male client reports that he fell the night before. What should you follow up with? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

Which is the most likely reason that thyroid disorders are often difficult to diagnose in older adults?

The gerontological nurse collaborates with the wound care team about an older client who has an ulcer. How is this nurse demonstrating leadership in the care of older people?

Which of the following is a true statement concerning suicide among older adults?

The nurse notices that an older adult’s urine is concentrated. Which step should the nurse implement next?

When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

Which of the following statements is true about analgesic medications for older adults?

A nurse measures an older adult's blood pressure on the right arm and notes a reading of 150/100. The nurse waits 5 minutes and measures the blood pressure again in the right arm and obtains a reading of 152/100. What is the next action by the nurse?