The desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety is:
- A. The individual will experience no anxiety.
- B. The individual will demonstrate hope for the future.
- C. The individual will maintain anxiety at manageable level.
- D. The individual will verbalize acceptance of self as worthy.
Correct Answer: C
Rationale: The correct answer is C because it focuses on managing the anxiety at a manageable level, which is a realistic and achievable goal in the short term. This approach acknowledges the individual's current state and aims to provide coping strategies to help them function despite the anxiety. Option A is incorrect as it is unrealistic to expect no anxiety after a traumatic event. Option B is not the immediate priority when the individual is experiencing panic anxiety. Option D is also incorrect as self-acceptance may be a long-term goal but is not the immediate focus in managing panic anxiety.
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You are the supervising nurse in a physical rehabilitation center that has the philosophy that clients have the need to cope with their disabilities and its limitations are the result of a discrepancy between the client's abilities and the limitations of the physical and social environment within which the client lives. Which model of disability is this philosophy based on?
- A. Orem's Self Care Model
- B. Nagi's Model
- C. A cognitive model of disability
- D. A biomedical model of disability
Correct Answer: B
Rationale: Nagi's Model (B) focuses on ability-environment discrepancies.
The nurse contributed to a staff education program about transmission precautions to use when caring for a patient who has AIDS. Which statement by a staff member indicates a correct understanding of the teaching?
- A. Wear a mask for any patient contact.'
- B. Wear a waterproof gown at all times.'
- C. Wear clean gloves for body fluid contact.'
- D. Wear sterile gloves for any patient contact.'
Correct Answer: C
Rationale: The correct answer is C: "Wear clean gloves for body fluid contact." This is correct because wearing clean gloves when coming into contact with body fluids is essential to prevent the transmission of infections like AIDS. Sterile gloves are not necessary for routine patient care, and wearing a mask or waterproof gown is not indicated unless there is a specific risk of droplet or airborne transmission. Thus, the staff member demonstrating an understanding of using clean gloves for body fluid contact shows knowledge of proper transmission precautions for caring for a patient with AIDS.
The nurse is caring for a patient who has AIDS. For which opportunistic lung infection caused by a fungus should the nurse monitor in this patient?
- A. Tuberculosis
- B. Cytomegalovirus
- C. Candida albicans
- D. Pneumocystis jiroveci pneumonia
Correct Answer: D
Rationale: The correct answer is D: Pneumocystis jiroveci pneumonia. Patients with AIDS are at high risk for opportunistic infections, particularly Pneumocystis jiroveci pneumonia due to their compromised immune system. This infection is a common cause of respiratory issues in AIDS patients. Monitoring for this specific infection is crucial for early detection and treatment.
A: Tuberculosis is also a common opportunistic infection in AIDS patients, but the question specifically mentions a lung infection caused by a fungus, ruling out tuberculosis.
B: Cytomegalovirus is a viral infection, not caused by a fungus, hence it is not the correct answer.
C: Candida albicans is a fungal infection, but it typically affects mucous membranes like the mouth and throat, not the lungs as specified in the question.
Society cannot be studied in the same way as the natural world because
- A. We cannot collect empirical data about social life
- B. Sociologists are not rational or critical enough in their approach
- C. It is difficult for sociologists to gain access to a research laboratory
- D. Human behavior is meaningful and varied between individuals and cultures
Correct Answer: D
Rationale: Social sciences differ due to human behavior's interpretive and diverse nature (Weber).
The nurse is conducting a family assessment. When asked about her children's performance at school, the single mother reported that her oldest, a 10-year-old, 'does OK with schoolwork but doesn't have any interest in being friends with the kids in her school.' To further investigate this situation the nurse asks the:
- A. Child why she doesn't have friends at school.
- B. Mother if her younger children have friends at school.
- C. Child what she does at home after she comes home from school.
- D. Mother to discuss the situation with the child's teacher or school counselor.
Correct Answer: C
Rationale: The correct answer is C because asking the child what she does at home after school can provide insights into her social interactions, interests, and possible reasons for not having friends at school. This approach allows the nurse to understand the child's daily routine, activities, and possible areas for intervention or support.
A: Asking the child directly why she doesn't have friends may not yield accurate information as the child may not be able to articulate her feelings or may not be comfortable discussing the issue openly.
B: Inquiring about the younger children's friendships is not relevant to understanding the oldest child's situation and may not provide meaningful insights.
D: Involving the teacher or counselor without understanding the child's perspective first may not address the underlying reasons for her lack of friends and may not be the most appropriate initial step in the assessment process.
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