A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?
"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 B
Choice A is wrong because, "I don't want to lose control of my ability to make decisions," does not indicate a risk for suicide but rather a fear of losing autonomy or control over one's life.
This statement can be a red flag for suicidal ideation. It may suggest that the client has a plan to end their life, believing that death will bring relief or improvement to their situation.
This statement indicates that the client is seeking and accepting support from others, which is generally a positive coping mechanism and does not indicate a risk for suicide.
While this statement indicates fear and anxiety about the progression of the disease, it does not necessarily indicate a risk for suicide. It's a common concern among individuals with terminal illnesses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C because, "Immunizing the clients against influenza." Older adults are at higher risk of developing serious complications from the flu, including pneumonia, and are more likely to be hospitalized due to the flu.
Immunizing the clients against influenza is an important health promotion strategy to reduce this risk.
Choice A is wrong because, "Scheduling annual dental examinations for the clients," is not the correct answer because although oral health is important, it is not the priority health promotion strategy for older adults.
Choice B is wrong because, "Encouraging the clients to exercise regularly," is not the correct answer because although exercise is important for older adults, it is not the priority health promotion strategy for older adults living in an assisted living facility.
Choice D is wrong because, "Providing the clients with a low-fat diet," is not the correct answer because although a healthy diet is important, it is not the priority health promotion strategy for older adults living in an assisted living facility.
Correct Answer is C
Explanation
The mother reporting vomiting in choice A may be concerning, but it is a known side effect of methylphenidate, and the client should be monitored for any further symptoms. A client who has COPD and reports an oxygen saturation of 90%. An oxygen saturation of 90% in COPD is within normal due to the chronic hypoxia.The purple appearance of a colostomy stoma in choice C may indicate ischemia or necrosis, and is an urgent concern.The feeling of a vibration in a new arteriovenous graft for dialysis in choice D may indicate an arterial steal syndrome, but it is not a medical emergency, and the client can be instructed to follow up with the provider. Therefore, the correct answer is choice B.
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