Nokea
A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay (ELISA) testing for HIV. Which of the following information should the nurse include?
- A. The test monitors progression of the disease
- B. The test measures antibodies to the virus
- C. The test results are accurate 24 hr after exposure to the virus
- D. A positive result requires initiating immunoglobulin administration
Correct Answer: B
Rationale: The correct answer is B because ELISA testing for HIV measures antibodies to the virus, indicating exposure to the virus. This is crucial for diagnosing HIV infection. Choice A is incorrect because ELISA does not monitor disease progression. Choice C is incorrect as it takes weeks, not hours, for accurate results post-exposure. Choice D is incorrect as immunoglobulin administration is not the treatment for a positive HIV result.
You may also like to solve these questions
An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism?
- A. I have lots of health problems from being obese
- B. I am obese, it's in my genes
- C. I have difficulty resisting the items in vending machines
- D. I know you don't like me because I am obese
Correct Answer: B
Rationale: The correct answer is B because the client is using rationalization by attributing their obesity to genetics rather than taking personal responsibility. This deflects accountability and provides a justification for their weight issue. Choice A acknowledges the health problems related to obesity. Choice C acknowledges a specific struggle with resisting temptations. Choice D reflects projection, attributing dislike to the nurse. Other choices are incomplete.
A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client?
- A. Administrator
- B. Nurse consultant
- C. Case manager
- D. Clinician
Correct Answer: C
Rationale: The correct answer is C: Case manager. In this scenario, the nurse is functioning as a case manager by coordinating and arranging for the occupational therapist to visit the client. A case manager is responsible for coordinating care services and resources for clients to meet their healthcare needs. A nurse consultant (B) provides expert advice and guidance but does not typically coordinate services like a case manager. An administrator (A) is in charge of managing the overall operations of a healthcare facility. A clinician (D) directly provides healthcare services to clients. In this situation, the nurse is not assuming these roles but rather acting as a case manager to ensure the client receives the necessary occupational therapy services.
A public health nurse is addressing community leaders at a forum about community improvement. The nurse should identify which of the following groups as being the fastest growing segment of the homeless population?
- A. People who have substance use disorders
- B. Families who have children
- C. Adolescent runaways
- D. Men who are unemployed
Correct Answer: B
Rationale: The correct answer is B: Families who have children. This group is the fastest growing segment of the homeless population due to various factors such as lack of affordable housing, economic instability, and family breakdown. Families with children are particularly vulnerable to homelessness as they face challenges in accessing stable housing. In contrast, choices A, C, and D represent specific subgroups within the homeless population, but they are not identified as the fastest growing segment. People with substance use disorders, adolescent runaways, and unemployed men may indeed be at risk of homelessness, but they do not currently constitute the fastest growing segment.
A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first?
- A. Collect data to identify barriers to learning
- B. Establish methods to evaluate program outcomes
- C. Obtain visual aids that feature adolescents
- D. Provide computer-based education
Correct Answer: A
Rationale: The correct answer is A: Collect data to identify barriers to learning. This should be the first step because understanding the specific challenges and obstacles that adolescents face in learning about preventing STIs is crucial for designing an effective program. By collecting data, the nurse can tailor the program to address the specific needs of the target audience, ensuring that the information is relevant and accessible.
Choice B, establishing methods to evaluate program outcomes, would come later in the program planning process after the content has been developed and implemented. Choice C, obtaining visual aids featuring adolescents, and choice D, providing computer-based education, are also important but should be considered after identifying barriers to learning to enhance the effectiveness of the program.
A home health nurse is scheduled for a first-time visit to a client. Which of the following should the nurse perform first?
- A. Blood pressure screening
- B. Mental status examination
- C. Review of the neighborhood
- D. Family history
Correct Answer: C
Rationale: The correct answer is C: Review of the neighborhood. This should be performed first to assess the safety and environment of the client's home, ensuring the nurse's safety and the ability to provide care effectively. It helps identify potential hazards or resources in the community. Blood pressure screening (A) can wait until after ensuring a safe environment. Mental status examination (B) is important but can be conducted after assessing the neighborhood. Family history (D) is not a priority for the first visit.