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 A
Explanation
A. "I will discard the syringes in a metal container." - Using a heavy-duty metal or hard plastic container with a tight-fitting, puncture-proof lid is a proper method for disposing of used syringes. This reduces the risk of needle sticks and prevents others from accessing the used sharps.
B. "I will wear gloves when I discard the syringes." - While wearing gloves during disposal can be a good practice for personal protection, the primary focus should be on the proper containment and disposal of used syringes.
C. "I will take containers of used syringes to the local recycling center." - Used syringes are considered biohazardous waste and should not be disposed of in regular recycling centers. They require special handling and disposal to prevent the risk of injury or contamination.
D. "I will store used syringes in a biohazard bag before discarding." - Biohazard bags are not typically used for the disposal of sharps. A puncture-proof container is the recommended method for sharps disposal.
Correct Answer is ["A","D","E"]
Explanation
A. "I will receive care from a variety of interprofessional team members."
This statement is correct. Hospice care typically involves a team of healthcare professionals, including nurses, doctors, social workers, and other specialists, working together to address the physical, emotional, and spiritual needs of the patient.
B. "I will need to have private insurance because Medicare does not cover hospice services."
This statement is incorrect. Hospice services are typically covered by Medicare, Medicaid, and most private insurance plans. Patients and families should check their specific coverage, but in general, hospice services are covered by various insurance providers.
C. "My provider will recommend that I enter hospice care when I have 1 year left to live."
This statement is incorrect. The specific time frame for entering hospice care is not solely based on having one year left to live. Hospice care is generally appropriate for individuals with a prognosis of six months or less, but it depends on the patient's specific clinical condition and needs. The decision to enter hospice is based on the patient's overall health status, not a specific timeline.
D. "I can receive care in the hospital or at home."
This statement is correct. Hospice care can be provided in various settings, including the patient's home, nursing homes, or hospice facilities. The goal is to provide comfort and support wherever the patient feels most comfortable.
E. "I can discontinue hospice care whenever I want."
This statement is correct. Hospice care is based on the patient's choice, and they have the right to discontinue hospice care at any time. It's important for patients to have autonomy and make decisions that align with their preferences and values.
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