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
A. "I don't want to lose control of my ability to make decisions." This statement expresses a fear of losing autonomy, which is a common concern for individuals with chronic illnesses. It does not directly indicate a risk for suicide.
B. "I know that everything will be better soon." This statement can be a red flag, as it might suggest that the client has lost hope and may be contemplating suicide as a way to make things "better" in their mind.
C. "I am relying more and more on my partner for support." This response indicates that the client is seeking and receiving support from their partner. While it shows a need for assistance, it does not imply suicidal ideation.
D. "I am afraid of experiencing pain near the end." This statement reflects a fear of future pain and suffering, which is a valid concern for individuals with terminal illnesses. While it does not directly indicate a risk for suicide, it is essential to address pain management and provide reassurance to the client about end-of-life care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ambulate without the walker for short distances.
Explanation: Given the client's weakness and use of a walker, ambulating without the walker, even for short distances, increases the risk of falls. The walker provides essential support and stability.
B. Use 40-watt bulbs in light fixtures.
Explanation: Adequate lighting is crucial for preventing falls, especially for individuals with mobility challenges. However, using low-wattage bulbs may result in insufficient lighting, increasing the risk of tripping or stumbling. It is recommended to use higher-wattage bulbs for better visibility.
C. Place several small throw rugs on non-carpeted floors.
Explanation: Throw rugs on non-carpeted floors can create tripping hazards, particularly for someone using a walker. They may lead to slips and falls. It is advisable to remove or secure rugs to prevent accidents.
D. Sit on a shower chair while showering.
Explanation: Sitting on a shower chair while showering is a safety measure for individuals with lower extremity weakness, as it provides stability and reduces the risk of falls in the shower. It allows the client to shower while seated, minimizing the need for standing and balancing.
Correct Answer is D
Explanation
A. "HIPAA rules vary from state to state."
Explanation: HIPAA regulations are federal laws and are consistent across all states. They provide a national standard for the protection of individuals' health information.
B. "A client's diagnosis can be posted on the communication board inside the client's room."
Explanation: Posting a client's diagnosis in a public area, such as a communication board, violates HIPAA regulations. Protected health information (PHI), including diagnoses, should be kept confidential and not disclosed in public spaces.
C. "We should share our computer passwords with our manager."
Explanation: Sharing computer passwords is a security risk and goes against HIPAA regulations. Each individual should have their unique login credentials to ensure accountability and protect the confidentiality of health information.
D. HIPAA rules allow clients to receive a copy of their medical records."
Explanation: This statement demonstrates an understanding of the HIPAA (Health Insurance Portability and Accountability Act) regulations regarding the client's right to access their medical records. HIPAA ensures that individuals have the right to request and receive copies of their own health information.
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