Nokea
Memory for personal events in our life is termed as
- A. Procedural
- B. Semantic
- C. Episodic
- D. Long term memory
Correct Answer: C
Rationale: Episodic memory stores personal experiences (Tulving).
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While collecting admission data, the nurse suspects a patient with AIDS is experiencing an HIV-associated neurocognitive disorder. What observations did the nurse make to come to this conclusion? (Select all that apply.)
- A. Audible bowel sounds
- B. Inappropriate laughter
- C. Inability to state home address
- D. Knee buckling while walking
Correct Answer: B
Rationale: The correct answer is B: Inappropriate laughter. Inappropriate laughter is a common symptom of HIV-associated neurocognitive disorder, indicating cognitive impairment. This symptom is often observed in patients with AIDS and can be indicative of changes in behavior and emotional responses.
Audible bowel sounds (A) are not specifically related to HIV-associated neurocognitive disorder. Inability to state home address (C) may indicate memory impairment but is not a specific symptom of this disorder. Knee buckling while walking (D) is more related to physical weakness or balance issues rather than cognitive impairment associated with HIV.
The most appropriate nursing intervention with Jenny (from question 5) would be to:
- A. Make arrangements for her to start attending Alateen meetings.
- B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is.
- C. Teach her about the effects of alcohol on the body and that it can be hereditary.
- D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.
Correct Answer: A
Rationale: The correct answer is A because Alateen meetings provide support and understanding for teenagers living with family members struggling with alcoholism. Attending these meetings can help Jenny feel less alone, gain coping strategies, and build a support network with peers in similar situations.
Choice B is incorrect as it minimizes Jenny's struggles and may invalidate her feelings. Choice C focuses on the biological aspect of alcoholism, which may not address Jenny's emotional needs. Choice D involves a referral to a psychiatrist for private therapy, which may not provide the peer support and understanding that Alateen meetings can offer.
The nurse has been discussing actions to prevent AIDS-related wasting syndrome with a patient being treated for AIDS. Which patient statements indicate an understanding of this teaching? (Select all that apply.)
- A. Eat a low-residue diet.
- B. Drink liquids before meals.
- C. Enjoy food odors to stimulate appetite.
- D. Numb painful oral sores with ice or popsicles.
Correct Answer: A
Rationale: The correct answer is A: Eat a low-residue diet. This is because AIDS-related wasting syndrome can lead to malabsorption issues and gastrointestinal symptoms, making it difficult for the body to absorb nutrients from food. A low-residue diet is recommended to reduce the amount of fiber and bulk in the diet, making it easier for the body to digest and absorb nutrients. Choices B, C, and D are incorrect as they do not specifically address the nutritional needs of a patient with AIDS-related wasting syndrome. Drinking liquids before meals may help with appetite but does not address nutrient absorption. Enjoying food odors may stimulate appetite but does not focus on nutrient intake. Numbing oral sores with ice or popsicles addresses symptom management but does not address the underlying issue of nutrient absorption.
Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured, but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, 'I don’t know why Carlo had to die and I didn’t!' This statement by Andrew suggests that he is experiencing:
- A. Spiritual distress
- B. Night terrors
- C. Survivor’s guilt
- D. Suicidal ideation
Correct Answer: C
Rationale: The correct answer is C: Survivor's guilt. Andrew's statement indicates feelings of guilt and confusion about why he survived while Carlo did not. Survivor's guilt is a common psychological response in individuals who have lived through a traumatic event where others did not. Andrew's frequent nightmares and anxiety attacks are also typical symptoms of survivor's guilt.
A: Spiritual distress is not the correct answer in this scenario as Andrew's statement does not specifically reference any spiritual or religious beliefs or conflicts.
B: Night terrors may be a symptom of Andrew's PTSD, but his statement about not understanding why he survived while Carlo did not suggests a deeper emotional struggle beyond just experiencing night terrors.
D: Suicidal ideation is not the correct answer as Andrew's statement does not indicate any desire or intention to harm himself. Rather, he is expressing confusion and guilt about surviving the traumatic event.
Self is an ongoing process that combines the 'I' and 'ME'. The 'I' refers to
- A. The image we have of how other people react to us
- B. The spontaneous force that fosters unpredictable behavior
- C. Both of these
- D. None of these
Correct Answer: B
Rationale: The 'I' (Mead) is the spontaneous, unscripted aspect of self.