Nokea
One common way of exploring in early childhood is by
- A. Avoiding
- B. Asking
- C. Listening
- D. Reading
Correct Answer: B
Rationale: Asking questions is a primary exploratory method in young children.
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A patient with AIDS-related wasting syndrome is very weak, lies listlessly in bed, has an intravenous (IV) drip, and receives antiretroviral medications via injection. What should be the priority nursing diagnosis for this patient?
- A. Pain related to immobility
- B. Ineffective Individual Coping due to terminal stage of HIV
- C. Risk for Injury due to impaired mobility, weakness, and weight loss
- D. Risk for Infection due to weak immune system and parenteral therapy
Correct Answer: D
Rationale: The correct answer is D: Risk for Infection due to weak immune system and parenteral therapy. This is the priority nursing diagnosis because a patient with AIDS-related wasting syndrome is at high risk for infections due to their weak immune system and parenteral therapy, which can introduce pathogens into the body. Addressing the risk for infection is crucial in preventing further complications and promoting the patient's overall well-being.
Choice A (Pain related to immobility) is not the priority as the patient's immobility is not the immediate concern compared to the risk of infection.
Choice B (Ineffective Individual Coping due to terminal stage of HIV) may be a valid concern, but ensuring the patient's physical health and preventing infections take precedence.
Choice C (Risk for Injury due to impaired mobility, weakness, and weight loss) is important but does not address the immediate threat of infection that the patient faces.
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.
A widow grieving her husbands sudden death tells the nurse, Im not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away. Which is the nurses most appropriate action?
- A. Assess for recent substance abuse.
- B. Suggest a referral to the mental health clinic.
- C. Arrange for an evaluation for antidepressant medication.
- D. Counsel the widow that visualizations are a normal part of grieving.
Correct Answer: D
Rationale: Grieving patients often dream about, visualize, think about, or search for the lost loved one. The patient should be told that this is considered a normal phenomenon and not a sign of mental illness. Visualization does not suggest substance abuse or mental illness in this case.
A trusting physician-patient relationship is a key factor in improving patient adherence to prescribed medications. Which of the following might discourage a patient from taking his/her medications?
- A. Using a trained medical interpreter to explain a prescription schedule
- B. Discussing folk or culture beliefs in the context of treating illness
- C. Prescribing complex treatments
- D. Reinforcing the urgency of the patient's illness
Correct Answer: C
Rationale: Complex treatments can overwhelm patients, reducing adherence due to confusion or burden.
Power is NOT defined as...
- A. The capacity to gain necessary resources to remove oneself from oppression
- B. Accruing to those with the most resources because they've earned it
- C. The capacity to influence the forces that affect one's life space
- D. Gaining resources to guarantee one's ability to perform
Correct Answer: B
Rationale: Power is about influence and resource access, not an inherent reward for accumulation.