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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Children with leukemia are at risk for developing oral mucositis, which is inflammation and ulceration of the oral mucosa due to the destruction of rapidly dividing cells by chemotherapy. Inspecting the child's mouth for sores and providing appropriate mouth care is essential to prevent infection and to maintain hydration and nutrition. Riding a bicycle is not recommended for a child with leukemia because of the risk of falls and injuries, and the measles, mumps, and rubella vaccine is contraindicated for children with leukemia who are receiving chemotherapy. Measuring the temperature orally or axillary is a safe and accurate method for monitoring the child's temperature.
Correct Answer is C
Explanation
The correct answer is choicec. Move the client to another location.
Choice A rationale:
Activating the alarm is important, but the immediate priority is to ensure the safety of the client by moving them away from the fire.
Choice B rationale:
Shutting the doors and windows can help contain the fire, but it should be done after ensuring the client is safe.
Choice C rationale:
Moving the client to another location is the priority action to protect them from harm.Ensuring the client’s safety is the first step in any emergency situation.
Choice D rationale:
Attempting to extinguish the fire is important, but it should be done after the client is safely moved to another location.
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