Which of these clients is at the highest risk for committing ...

[Mimi]

Which of these clients is at the highest risk for committing suicide?
 
  1. An adult who developed severe and persistent mental illness later in life after ex-periencing success
  2. A middle-age man who has chronic schizophrenia without depression
  3. A child who has minimal brain damage and attends regular classes at school
  4. A person who was diagnosed with chronic brain damage at the age of 3

Question 2

A 28-year-old client who has severe and persistent schizophrenia has been employed part-time as a bagger at a local store.
 
  Testing indicates that he is capable of learning additional skills, which may lead to a more secure job. He tells the nurse, I don't think I should change jobs. What is the most likely reason for the client's hesitancy to make a change?
  1. Fear of failure
  2. Disinterest in learning
  3. Job satisfaction
  4. Lack of family support

[briezy]

Answer to Question 1

ANS: 1
An adult who develops severe and persistent mental illness after having known success may ex-perience severe depression, placing him at risk for suicide. 2. Absence of depression makes sui-cide risk less likely. 3. No data are provided to suggest high suicide risk. 4. Suicide risk is lower when diagnosis is made early in life.

Answer to Question 2

ANS: 1
Clients with severe and persistent mental illness usually see themselves as ineffective and help-less. They may resist changes to further themselves for fear of failure. The other options may be true in some cases, but data do not support them in this scenario.