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.Giving away cherished personal possessions, saying goodbye, and refusing medications
b.Asking for an extra blanket at night
c.Requesting a different meal entree
d.Choosing to skip Tuesday bingo to read a book

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, c) and exercising the right to choose activities (d) 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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