The nurse is caring for an older adult patient who has recently lost his job, is experiencing a major physical illness, and lives alone. The patient states, "I sometimes wish I wasn't here." When working with this patient, the nurse recognizes that

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Verbal indicators of potential suicide include statements such as "I don't think I can go on without…"; "I sometimes wish I wasn't here"; or "People would be better off without me." Risk factors for suicide include a major physical illness, social isolation, and a recent major loss. A major goal in evaluating suicidal risk is to assess whether the patient is in imminent danger of doing harm to self. Irrational behaviors, drug and alcohol abuse, previous suicide attempts, and verbal threats are matters of concern, as is a sudden mood change-especially if the patient demonstrates much more energy. Suicide rates are higher for older adults, especially for white males. Behavioral indicators of escalating suicidal ideation include giving away possessions.

The Nurse Is Caring for an Older Adult Patient Who