Which assessment findings of an older adult living in an assisted-living facility indicate the highest risk for suicide?
a. Liver failure due to alcohol abuse, is popular at meals
b. Declines company, preoccupied with lethal weapons
c. Refuses to allow a large, extended family to help him
d. Acetaminophen overdose 20 years ago, in sewing group
B
Feedback
A Incorrect. The individual who has a serious illness and a history of alcohol abuse has two risk factors for suicide: however, this older adult also relishes social in-teraction, which is an indication that suicide is less likely to be imminent or even in the individual's thoughts.
B Correct. The older adult who prefers to be alone and is preoccupied with lethal weapons has two risk factors for suicide. This individual warrants close obser-vation for additional risk factors and verbalization and indicators of future sui-cide attempts. The nurse should also increase the frequency of observations and account for his whereabouts at all times.
C Incorrect. The older adult who will not accept help from the family exhibits a potential risk factor for suicide or is an exceedingly proud individual who wants to be self-sufficient.
D Incorrect. History of a suicide attempt is a risk factor for suicide; however, the acetaminophen overdose could also have been accidental.
You might also like to view...
A patient's low ionized calcium levels have necessitated an infusion of an IV calcium preparation. During the administration of this medication, the nurse should prioritize what assessment?
A) Oxygen saturation levels B) Cardiac monitoring C) Assessment of cognition D) Assessment for visual changes
Nursing outcome databases are critical because nurses must be able to:
a. assess the differences between an asso-ciate degree in nursing and a bachelor's of science degree in nursing. b. compare interventional care strategies between physicians. c. evaluate nurse's aide– and licensed prac-tical/vocational nurse–sensitive outcomes. d. measure how nurses influence patient outcomes.
A nurse interviews for a job in a hospital that advertises that it is "elderly friendly." The nurse would expect to see which of the following in place? (Select all that apply.)
a. An elder-assistance program to help pa-tients remember their appointments and navigate the hospital services. b. A long-term care facility that is affiliated with the hospital c. Rooms furnished with foldout beds for family members/caregivers d. An initiative to provide gerontological education for all nurses e. An initiative to increase the number of pa-tients referred to long-term care facilities upon discharge from the hospital
Prescribed is 1/4 gr of codeine sulfate p.o. now. The nurse calculates the client is to receive ____________________ mg of codeine sulfate
What will be an ideal response?