Which assessment finding of an older adult living in an assisted-living facility indicates the highest risk for suicide?

Choice A reason: Recommending an indwelling urinary catheter is not a good option, as it can increase the risk of urinary tract infections, bladder spasms, and catheter-associated complications.

Choice B reason: Prompted voiding is a technique that involves reminding or prompting the client to void at regular intervals, usually every two to four hours. It can help reduce the frequency and severity of urinary incontinence episodes.

Choice C reason: Scheduled voiding is a technique that involves setting a fixed schedule for the client to void, regardless of their urge or need. It can help prevent bladder overdistension and leakage.

Choice D reason: Pelvic floor muscle exercises, also known as Kegel exercises, are exercises that involve contracting and relaxing the muscles that support the bladder, urethra, and other pelvic organs. They can help strengthen the pelvic floor muscles and improve bladder control.

Choice E reason: None of the above is not a correct answer, as there are three choices that are appropriate for helping the client with urinary incontinence.

Choice A reason: Older adult declines company, is preoccupied with lethal weapons is the highest risk factor for suicide, as it indicates social isolation, hopelessness, and suicidal intent. The older adult may be suffering from depression, anxiety, or other mental health issues that impair their quality of life and increase their likelihood of harming themselves.

Choice B reason: Liver failure is due to alcohol abuse, older adult is popular at meals is not the highest risk factor for suicide, as it does not indicate suicidal ideation or behavior. The older adult may have a chronic medical condition that affects their liver function, but they may also have a supportive social network and coping skills that reduce their risk of suicide.

Choice C reason: Refuses to allow a large, extended family to help him is not the highest risk factor for suicide, as it does not indicate suicidal ideation or behavior. The older adult may have a preference for independence and autonomy, or they may have a strained relationship with their family. However, they may also have other sources of support and meaning in their life that lower their risk of suicide.

Choice D reason: The older adult had an overdose of acetaminophen 20 years ago; is in a sewing group is not the highest risk factor for suicide, as it does not indicate current suicidal ideation or behavior. The older adult may have a history of a suicide attempt, but they may also have recovered from their past crisis and found a positive outlet for their emotions and interests in the sewing group.

Choice E reason: None of the above is not the correct answer, as there is one choice that indicates the highest risk for suicide.