Which of the following responses by the client indicates a risk for suicide, as assessed by a home health nurse caring for a client with AIDs?
"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
A client who expresses fear of experiencing pain near the end may be at risk for suicide. This statement suggests that the client is considering end-of-life issues, which may be a trigger for suicidal ideation. The other statements do not necessarily indicate a risk for suicide. Statement A suggests a desire for control, statement B expresses optimism, and statement C suggests reliance on a partner for support.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
. The nurse should include teaching stress management strategies as an activity for a faith-based community. Stress management is a crucial part of maintaining physical, emotional, and spiritual well-being. It can help prevent chronic illnesses, improve mental health, and enhance quality of life. Stress management techniques can include exercise, meditation, deep breathing, progressive muscle relaxation, and visualization. These techniques can be taught in a group setting, and the nurse can also provide resources for the community to use at home. Providing case management and offering primary care to uninsured members are not typically activities that a parish nurse would perform. These services are typically provided by social workers and primary care physicians. Changing a negative pressure wound therapy dressing is a specialized nursing intervention that is typically performed in an acute care setting and is not an appropriate activity for a faith-based community.
Correct Answer is C
Explanation
A.While social withdrawal is a concerning sign of grief, it does not necessarily indicate an immediate risk of self-harm. The nurse should continue to monitor and encourage engagement.
B.Anger is a normal stage of grief. Unless the client expresses intent to harm themselves or others, anger alone does not require immediate intervention.
C.This statement may indicate suicidal ideation. When a grieving client expresses that "everything is going to be fine soon," it can be a red flag for suicidal intent, especially if they have recently experienced a significant loss. Some individuals contemplating suicide may appear calm or overly optimistic once they have decided on a plan.
D.Refusal to communicate is concerning but not necessarily an immediate crisis. The nurse should build rapport and offer ongoing support.
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