Nokea
A nurse manager notices that a staff member spends minimal time with a patient diagnosed with AIDS who is terminally ill. The patient says, Im having intense emotional reactions to this illness. Sometimes I feel angry, but other times I feel afraid or abandoned. The nurse manager can correctly hypothesize that the most likely reason for the staff members avoidance is:
- A. fear of infection transmission.
- B. feelings of inadequacy in dealing with complex emotional needs.
- C. knowledge that the patient needs time alone with family and friends.
- D. belief that the patients former lifestyle included high-risk behaviors.
Correct Answer: B
Rationale: Many nurses tend to be more comfortable with meeting physical needs than in focusing on complex emotional needs. Standard precautions are necessary for all patients. The patients lifestyle is irrelevant.
You may also like to solve these questions
Which statement about environmental safety is accurate?
- A. The nurse should advise clients in a smoke filled room to open the windows.
- B. The first thing that the nurse should do when using a fire extinguisher to put out a small fire is to aim the fire extinguisher at the base of the fire.
- C. Rapidly lift and move a client away from the source of the fire when their slippers are on fire.
- D. The home health care nurse should advise the client that the best fire extinguisher to have in the home is an ABC fire extinguisher.
Correct Answer: D
Rationale: ABC fire extinguishers are versatile and suitable for home use.
Health disparities have been shown to exist in regard to organ transplantation. African American and Hispanic patients may encounter which of the following compared with their non-Hispanic white counterparts?
- A. Shorter time in getting referred to a transplant specialist
- B. Shorter time on the organ transplant list
- C. Lower rates of graft survival after receiving an organ transplant
- D. Lower mortality after receiving an organ transplant
Correct Answer: C
Rationale: Research indicates African American and Hispanic patients experience lower graft survival rates due to systemic disparities in care.
The therapeutic alliance exists on which three levels?
- A. Short term, medium term and long term
- B. Individual, family and community
- C. Individual, subsystem and family
- D. N/A
Correct Answer: C
Rationale: The therapeutic alliance operates at individual, subsystem (e.g., parental), and whole-family levels, reflecting systemic engagement.
Self-efficacy is one of the main components of self-esteem. If a person has high self-efficacy he/she is likely to
- A. Believe that most assignments are difficult and confusing
- B. Ask for considerable help to start a difficult task
- C. Feel lacking in skills for a specific task
- D. Believe they can accomplish the task
Correct Answer: D
Rationale: High self-efficacy (Bandura) is belief in task capability.
After ensuring the patient understands the nature of sleep apnea and how to use the CPAP machine, which of the following measures would be effective in improving low CPAP adherence?
- A. Contact family members and loved ones to encourage patient adherence
- B. Discuss barriers that the patient has encountered when using the device
- C. Start the patient on a mild sedative to be taken nightly
- D. Enroll the patient in a sleep study to monitor CPAP usage
Correct Answer: B
Rationale: Identifying specific barriers tailors solutions to improve CPAP use.