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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Living wills can be updated anytime, not fixed. This misinformation contradicts legal flexibility, key for clients to understand in directives.
Choice B reason: Surrogates needn’t be family; any trusted person qualifies. Mandating family limits choice, misrepresenting the broad options in directive planning.
Choice C reason: A surrogate decides when the client can’t, per advance directives. This accurately informs about proxy roles, essential for incapacity planning.
Choice D reason: Attorneys aren’t required; forms suffice legally in most states. This overcomplicates surrogacy, deterring clients from completing directives unnecessarily.
Correct Answer is A
Explanation
Choice A reason: Shoulder harnesses at shoulder level secure the infant, distributing crash forces evenly. Scientifically, this aligns with safety standards, preventing spinal injury by stabilizing the torso, a critical car seat feature per biomechanical crash studies for optimal protection.
Choice B reason: A cushion under the head risks airway obstruction or spinal misalignment in crashes. Scientifically, added padding alters manufacturer design, increasing injury risk, as car seats are engineered for direct fit without extras per safety regulations.
Choice C reason: A 90-degree angle is upright, risking airway collapse in newborns with weak necks. Scientifically, a 30-45-degree recline supports breathing and spinal alignment, making this unsafe per pediatric and crash safety evidence.
Choice D reason: Airbags in the front seat can fatally injure infants in rear-facing seats via rapid inflation. Scientifically, back-seat placement avoids this, as airbag force exceeds infant tolerance, contradicting safety mandates for car seat positioning.
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