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 C
Explanation
If a nurse encounters a client with a suspected bioterrorism-related illness, the first action should be to don personal protective equipment (PPE). This includes a mask, gloves, gown, and eye protection. Moving the client to a quarantine area (choice A) may be necessary, but it should come after the nurse has taken steps to protect themselves and others. Reporting the client's condition to the Federal Bureau of Investigation (FBI) (choice B) is not the nurse's responsibility, but they should report the illness to their supervisor or public health department.
Correct Answer is ["B","C","D"]
Explanation
The correct answers are B, C, and D. The nurse should assist the client in using guided imagery, maintain the head of the client's bed in an elevated position after eating, and provide sips of room-temperature ginger ale between meals. Guided imagery can help distract the client from the nausea and promote relaxation.
Elevating the head of the bed after eating can help prevent reflux and nausea. Ginger ale can help relieve nausea and can be sipped slowly between meals. Using seasonings to enhance the flavor of foods is not likely to help with chemotherapyinduced nausea, and cold milk as a meal replacement may not provide enough calories and nutrients.
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