Mental HealthQuestion 133 of 200

Which behavior in an elderly LTC resident should the CNA report as a POTENTIAL warning sign of suicide risk?

a.Choosing to skip the Tuesday bingo game in order to read a library book alone in her room
b.Asking the CNA at bedtime for an extra blanket because the room feels cold to her again
c.Giving away cherished personal possessions, saying goodbye, and refusing medications
d.Requesting a different dinner entree because she does not care for the baked fish tonight

Explanation

Suicide warning signs in older adults include giving away possessions, saying goodbye, hopeless statements, sudden calmness after depression, hoarding medications, and refusing care or medications. Older adults — especially older white men — have the highest suicide completion rate in the U.S. Any warning sign MUST be reported immediately to the nurse who will arrange physician assessment and safety measures. Routine requests (b, d) and exercising the right to choose activities (a) per 42 CFR §483.10 are not warning signs. 42 CFR §483.40 requires behavioral health support.

Law Reference: 42 CFR §483.40; Title 22 CCR §72315

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