Nokea
If the client has all of the following strengths, which one is most important for coping with this diagnosis?
- A. Acceptance by religious leaders
- B. A close circle of support
- C. Acquisition of many social acquaintances
- D. Sexual tolerance within the community
Correct Answer: B
Rationale: A close support network provides emotional and practical assistance, critical for coping with the challenges of an HIV diagnosis.
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When asked to identify the characteristics of post-traumatic stress disorder (PTSD), the nurse correctly responds that most people with this disorder report which findings? Select all that apply.
- A. Recurring nightmares
- B. Auditory hallucinations
- C. Rapidly changing emotions
- D. Flashbacks
- E. Ease in being startled
- F. Trouble concentrating
Correct Answer: A,D,E,F
Rationale: PTSD symptoms include nightmares, flashbacks, hyperarousal (easily startled), and concentration difficulties, reflecting trauma-related distress.
Staff members have expressed fear of the client who has a history of violent behavior. Which response made by the lead nurse would be most beneficial in addressing the staff’s expressed concerns?
- A. “Let’s not prejudge him. His medication should help him control his behavior.”
- B. “I will be very attentive to his behavior monitoring it for any signs of escalation.”
- C. “It may be hard but we need to appear calm and nonthreatening but alert to his behavior.”
- D. “As staff we are all trained to manage violent clients and we can handle any crisis behavior.”
Correct Answer: C
Rationale: Appearing calm and nonthreatening (C) addresses staff concerns and guides management. Prejudging (A) personal monitoring (B) or overconfidence (D) dismiss staff fears.
If the client is typical of others of similar age, the nurse can anticipate the client as having which age-related problems? Select all that apply.
- A. Becoming cynical
- B. Losing patience
- C. Developing hostility
- D. Having periods of regret
- E. Experiencing episodes of depression
Correct Answer: D,E
Rationale: Regret and depression are common in late adulthood as individuals reflect on life, per Erikson's integrity vs. despair stage.
When the older client with Alzheimer's disease is confused about how to use a fork, which nursing action is best for prolonging an ability to maintain self-care?
- A. Ask the physician to order a liquid diet.
- B. Position the client to promote mimicking other clients.
- C. See the client first so there is sufficient time to eat.
- D. Seat the client alone so no one will see any mess that occurs.
Correct Answer: B
Rationale: Mimicking others leverages social cues, encouraging independent eating and prolonging self-care abilities.
What is the best approach for reorienting a confused client who wanders into other clients' rooms?
- A. Place a large sign with the client's name on the door.
- B. Keep the room doors on the unit locked at all times.
- C. Restrain the client in a wheelchair when unattended.
- D. Speak to the client about invading other people's privacy.
Correct Answer: C
Rationale: Restraining in a wheelchair prevents wandering while respecting dignity, though it must be used cautiously and per protocol.