A son explained to the home health nurse that since his mother ...

[savannahhooper]

A son explained to the home health nurse that since his mother died, his father did not seem to have any interest in life and had even told his son he was considering suicide. Which of the following would be the most appropriate response by the nurse?
 
  a. If he really wants to kill himself, he will, and there really isn't anything you can do to stop him.
  b. If you talk to him about it, you're strengthening the idea.
  c. People who talk about suicide rarely do it, so don't worry.
  d. Suicide is a serious concern; let's talk to his doctor about what you've noticed.

Question 2

A nurse asked a family if they'd work with her to create a family genogram. The mother asked, Why would you want to know so much about our family? Which of the following would be the most appropriate response by the nurse?
 
  a. A genogram helps you see how some problems run in families. Your children will need to know this.
  b. If you're willing to share, we can discuss family history and possibly some hereditary health issues.
  c. Please be assured you don't have to answer any question you don't want to answer.
  d. Why would you want to keep your family members secret? Is there some problem?

[Chou]

Answer to Question 1

ANS: D
Suicide is a serious health concern related to the elderly, who account for 18 of all suicides. Elder suicide is associated with depression, chronic illness, physical impairment, unrelieved pain, financial stress, loss and grief, social isolation, and alcoholism. Warning signs to watch for in the elderly are loss of interest in things or activities that are usually found enjoyable; cutting back from social interactions, self-care, and grooming activities; not following medical regimens (e.g., going off diets, not taking prescriptions); experiencing or expecting a significant personal loss (e.g., death of spouse or friend); feeling hopeless or worthless; putting affairs in order; giving things away; making changes in will; and stockpiling medications or obtaining other lethal means for committing suicide. The most significant warning sign is any expression of intent. Because the father is at high risk for suicide, the son must discuss the problem with the father's physician so that care can be obtained.

Answer to Question 2

ANS: B
A genogram is an excellent opening to the discussion of family history and possible hereditary health problems. It may also point to a need for health education. Some families may be sensitive to the sharing of such information, but obviously any patient can answer with however much or little he or she wishes to share.

[savannahhooper]

TY

[Chou]

Happy to Help