A home health nurse is assessing a client with 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 D
People living with HIV/AIDS have a much higher risk of suicide than the general population1. Some of the risk factors for suicidal ideation, suicide attempts and suicide deaths in this group are depression, advanced disease, neurological changes, stigma, poor social support, negative life events, physical pain and fear of rejection.
Based on these risk factors, the response by the client that indicates a higher risk for suicide is d. “I am afraid of experiencing pain near the end.” This response suggests that the client has a low perception of their physical health, a fear of losing control and a pessimistic outlook on their future. These are signs of hopelessness, which is a strong predictor of suicide.
The other responses do not necessarily indicate a high risk for suicide, although they may reflect some challenges that the client is facing. For example, response a. may indicate a desire for autonomy and dignity, response b. may indicate a coping strategy or denial, and response c. may indicate a source of emotional support or dependency. However, these responses do not imply that the client is thinking about harming themselves or ending their life.
Therefore, the home health nurse should assess the client’s level of hopelessness, suicidal ideation and suicide plan, and provide appropriate interventions and referrals to prevent a possible suicide attempt. The nurse should also monitor the client’s mood, pain, medication adherence and social support, and offer education, counseling and resources to improve the client’s quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This outcome addresses the ethical principle of distributive justice by ensuring that resources, in this case Medicare benefits, are distributed fairly and equitably to those who are eligible to receive them.
Choice A, “Clients verbalize their right to refuse treatment,” addresses the ethical principle of autonomy, which is the right of individuals to make decisions about their own healthcare.
Choice B, “Clients understand their right to confidentiality,” addresses the ethical principle of confidentiality, which is the obligation to protect a client’s personal health information.
Choice D, “Clients demonstrate completion of advance directives,” addresses the ethical principle of autonomy by allowing clients to make decisions about their future healthcare.
Correct Answer is ["A","B","D"]
Explanation
The correct answer is choice A, B, and D.
Choice A rationale:
Hospice care is a voluntary service, and patients can choose to discontinue it at any time if they wish to pursue other treatments or if their condition improves.
Choice B rationale:
Hospice care can be provided in various settings, including the patient’s home, hospitals, nursing homes, and assisted living facilities.
Choice C rationale:
This statement is incorrect. Medicare does cover hospice services for eligible patients, so private insurance is not necessary.
Choice D rationale:
Hospice care involves an interprofessional team approach, including doctors, nurses, social workers, chaplains, and other healthcare professionals to provide comprehensive care.
Choice E rationale:
Hospice care is typically recommended when a patient is expected to have six months or less to live, not one year.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.