A nurse is providing an educational session on vaccines to a group of older adults. The nurse is discussing the zoster vaccine Shingrix. Which of the following information should the nurse include in the education?

Choice A reason: Wearing sturdy open-toed shoes is not a good idea for a person with diabetes, as it can expose the feet to injuries or infections that can be hard to heal. The nurse would advise the patient to wear well-fitting, closed-toe shoes that protect the feet and prevent blisters or ulcers.

Choice B reason: Monitoring blood glucose levels before and after a walk is a sensible instruction for a person with diabetes, as physical activity can lower blood glucose levels and affect the need for medication or insulin. The nurse would advise the patient to check his blood glucose levels before and after a walk, and adjust his food intake or medication accordingly.

Choice C reason: Omitting antidiabetic medication is a dangerous instruction for a person with diabetes, as it can cause hyperglycemia or high blood glucose levels that can lead to serious complications. The nurse would advise the patient to take his medication as prescribed, and consult his doctor if he needs to change his dosage.

Choice D reason: Preparing to administer insulin is an unnecessary instruction for a person with type 2 diabetes who is not on insulin therapy, as it can cause hypoglycemia or low blood glucose levels that can be life-threatening. The nurse would advise the patient to follow his doctor's recommendations on whether he needs insulin or not, and how to use it safely.

Choice A reason: Older African American women do not have the highest risk of suicide among older adults. According to the CDC, suicide rates are highest among adults age 75 and older, and highest among males age 75 and older.

Choice B reason: Older adults and younger adults do not manifest suicidal intent in a similar manner. Older adults tend to plan suicide more carefully, use more lethal means, and have fewer warning signs than younger adults.

Choice C reason: A major crisis experienced by the client can contribute to the risk of suicide. Older adults may face various stressors, such as bereavement, loneliness, chronic illness, or loss of independence, that can trigger suicidal thoughts or behavior.

Choice D reason: Ethics do not require that the nurse respects a person’s intent to terminate his or her own life. Nurses have a duty to protect the safety and well-being of their clients, and to intervene if they suspect suicidal risk.