A nurse is collecting data from a client who reports manifestations of depression. Which of the following findings should the nurse identify as a risk factor for suicide?
The client is married and has children.
The client has a strong religious affiliation.
The client recently received a pay raise at work.
The client has a history of chronic back pain.
The Correct Answer is D
Choice A reason: Being married with children often buffers suicide risk by providing social support and purpose, reducing isolation—a key factor in depression. Scientifically, strong familial ties correlate with lower rates, making this a protective, not risk-enhancing, element in mental health assessments.
Choice B reason: Strong religious affiliation typically lowers suicide risk, as faith offers coping mechanisms and community, countering despair. Scientifically, studies show religiosity inversely relates to suicide, acting as a protective factor, not a contributor, in depression-related risk evaluations.
Choice C reason: A recent pay raise suggests improved financial stability, reducing stress—a suicide risk factor. Positive life events like this bolster resilience in depression, not heighten risk. Scientifically, this aligns with lower suicidal ideation, making it a protective rather than aggravating circumstance.
Choice D reason: Chronic back pain increases suicide risk in depression, as persistent pain erodes quality of life, amplifying hopelessness. Scientifically, chronic conditions correlate with higher rates, as physical suffering compounds psychological distress, making this a significant risk factor per mental health research.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Budesonide prevents, not rescues, asthma attacks; rescue inhalers like albuterol are used instead. This shows misunderstanding of its controller role in management.
Choice B reason: Rinsing after budesonide, a corticosteroid, prevents oral thrush by removing residue. This reflects correct understanding of side effect prevention in asthma therapy.
Choice C reason: Timing budesonide to meals and bedtime isn’t standard; it’s typically twice daily. This indicates confusion about its preventive, not situational, use.
Choice D reason: Pre-exercise use fits rescue inhalers, not budesonide, which builds long-term control. This misapplies its purpose, showing a lack of asthma management grasp.
Correct Answer is A
Explanation
Choice A reason: Elevation reduces swelling post-cast application, enhancing circulation. It’s a key step to prevent edema and discomfort in the right arm.
Choice B reason: Hair dryers risk burns or softening plaster; scratching tools are safer. This is incorrect and dangerous advice for cast care management.
Choice C reason: Covering delays drying, trapping moisture in plaster. It needs air exposure to harden, so this contradicts proper cast maintenance.
Choice D reason: Showering after 24 hr wets plaster, weakening it. Casts require protection from water, making this an inaccurate care instruction.
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