During an assessment, an older adult says, “I have given away my belongings because my family will not need them soon.” What should the nurse do first?
Correct answer: B. Ask directly about thoughts, plans, and means of self-harm.
- A. Change the subject to a pleasant childhood memory.
- B. Ask directly about thoughts, plans, and means of self-harm.
- C. Tell the patient that older people often feel lonely.
- D. Arrange a routine follow-up visit next month.
Explanation
Giving away possessions can be a warning sign of suicide risk, so the nurse must assess suicidal thoughts, plan, intent, and access to means immediately. Direct questions do not cause suicide and help determine the need for urgent safety measures.
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About Mental Health of Children and Older Adults
Mental health care for children and older adults requires age-appropriate assessment, communication, family involvement, and recognition of developmental changes. Coverage includes ADHD, autism spectrum disorder, childhood anxiety and depression, dementia, delirium, late-life depression, suicide risk, and the distinction between normal aging and cognitive disorder.
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