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A survivor of physical spousal abuse was treated in the emergency department for a broken wrist. This patient said, Ive considered leaving, but I made a vow and I must keep it no matter what happens. Which outcome should be met before discharge? The patient will:
- A. facilitate counseling for the abuser.
- B. name two community resources for help.
- C. demonstrate insight into the abusive relationship.
- D. reexamine cultural beliefs about marital commitment.
Correct Answer: B
Rationale: The only outcome indicator clearly attainable within this time is for staff to provide the victim with information about community resources that can be contacted. Development of insight into the abusive relationship and reexamining cultural beliefs will require time. Securing a restraining order can be accomplished quickly but not while the patient is in the emergency department. Facilitating the abusers counseling may require weeks or months.
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The nurse is preparing to provide education related to HIV transmission at a local community health fair. Which statements should the nurse recommend for inclusion in the teaching? (Select all that apply.)
- A. Use oil-based lubricants.
- B. Use a new condom for each sex act.
- C. Use condoms that are not made of latex.
- D. Fit condom tightly over the tip of the penis.
Correct Answer: B
Rationale: Step 1: Using a new condom for each sex act helps reduce the risk of HIV transmission by preventing the exchange of bodily fluids.
Step 2: This practice ensures that there is no risk of contamination from a previously used condom.
Step 3: It is a crucial aspect of safe sex practices to protect oneself and others from contracting HIV.
Summary: Choice B is correct as it promotes safe sex practices. Choices A, C, and D are incorrect as they do not contribute to reducing the risk of HIV transmission.
ne 'double standard' normally refers to the difference in social attitudes towards
- A. Child and adult sexual activity
- B. Homosexual and heterosexual activity
- C. Male and female sexual activity
- D. Working class and middle class sexual activity
Correct Answer: C
Rationale: The double standard typically critiques differing expectations for male vs. female sexual behavior.
A nursing intervention for the initial phase of grief should focus on:
- A. Ignoring the patient until your presence is requested.
- B. Staying available to provide support when the person demonstrates distress.
- C. Insisting the person face reality of the loss.
- D. Organizing a support group to provide a support system.
Correct Answer: B
Rationale: The initial phase of grief is denial. The individual may have difficulty facing the scope of the loss initially, so being available to support him or her when the emotions come is important.
The control group and the experimental group in an experiment are treated exactly the same except for the:
- A. Dependent variable
- B. Independent variable
- C. Extraneous variables
- D. Replication variables
Correct Answer: B
Rationale: The independent variable is the only difference between control and experimental groups.
The nurse is reviewing laboratory results for a patient who has HIV. Which result would be strongly suggestive of a diagnosis of AIDS?
- A. CD4+ = 180/μL
- B. CD4+ percentage = 68%
- C. CD8+ = 650/μL
- D. CD4+/CD8+ ratio = 1.5
Correct Answer: A
Rationale: The correct answer is A because a CD4+ count of 180/μL is significantly below the normal range (500-1500/μL) and indicative of severe immunosuppression, which is a hallmark of AIDS. CD4+ percentage alone (choice B) may not provide the full picture. CD8+ count (choice C) doesn't directly indicate immune system status in HIV/AIDS. The CD4+/CD8+ ratio (choice D) may be altered in various conditions, not specific to AIDS.