Which of the following responses by the client indicates a risk for suicide, as assessed by a home health nurse caring for a client with AIDs?
"I don't want to lose control of my ability to make decisions."
"I know that everything will be better soon."
"I am relying more and more on my partner for support."
"I am afraid of experiencing pain near the end."
The Correct Answer is D
A client who expresses fear of experiencing pain near the end may be at risk for suicide. This statement suggests that the client is considering end-of-life issues, which may be a trigger for suicidal ideation. The other statements do not necessarily indicate a risk for suicide. Statement A suggests a desire for control, statement B expresses optimism, and statement C suggests reliance on a partner for support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
"Determine potential environmental health hazards." The first action a nurse should take when developing a disaster plan for an assisted care facility is to determine potential environmental health hazards. Natural disasters, such as hurricanes, floods, and wildfires, can disrupt the delivery of healthcare services and pose a risk to the safety and well-being of residents in assisted care facilities. Identifying potential environmental hazards, such as proximity to a river, a history of flooding, or a location in a high-wind zone, is essential in developing an effective disaster plan. The plan should also include strategies for evacuation, sheltering in place, communication with staff, and coordination with local emergency management agencies.
Correct Answer is B
Explanation
A school nurse caring for a child with muscular dystrophy who is having difficulty swallowing at lunch should initiate a referral to a speech-language therapist. Swallowing difficulties, or dysphagia, can lead to aspiration and respiratory complications. Speech-language therapists specialize in the evaluation and treatment of dysphagia. Occupational therapists may also work with clients who have dysphagia to help with positioning and adaptive equipment, but their primary focus is on activities of daily living. Dietitians may be consulted for nutritional support, but they are not trained to evaluate or treat dysphagia. Respiratory therapists may be involved in the care of clients with dysphagia who have respiratory complications, but they are not the primary referral for this issue.
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