Nokea
The nurse is caring for a client diagnosed with HAND resulting from AIDS. Which of the following would be most important for the nurse to assess?
- A. Sensory impairment
- B. Cognitive impairment
- C. Social behaviors
- D. Anxiety state
Correct Answer: B
Rationale: HIV-associated neurocognitive disorder (HAND) primarily affects cognitive function, making cognitive impairment (B) the most critical assessment. Sensory impairment (A), social behaviors (C), and anxiety (D) may be present but are less central to HAND?s core pathology.
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A client visits the clinic and tells the nurse about experiencing chronic stress on the job for the past 3 months. When teaching the client about chronic stress, which of the following would the nurse include as a possible result?
- A. Lung disorders
- B. Renal disorders
- C. Infections
- D. Thyroid disorders
Correct Answer: C
Rationale: Chronic stress weakens the immune system, increasing susceptibility to infections (C). Lung (A), renal (B), and thyroid disorders (D) are less directly linked to chronic stress, though prolonged stress may exacerbate existing conditions.
After teaching a group of nursing students about the connections between mental health and medical disorders on clients and families, the instructor determines the need for additional teaching when the students identify which of the following as an effect?
- A. Increased motivation for self-care
- B. Prolonged hospitalization
- C. Delayed recovery
- D. Increased financial strain
Correct Answer: A
Rationale: Increased motivation for self-care (A) is not a typical effect of combined mental health and medical disorders; these conditions often reduce motivation. Prolonged hospitalization (B), delayed recovery (C), and increased financial strain (D) are recognized effects.
The nurse is caring for four clients who are simultaneously being treated for chronic medical conditions and psychiatric conditions. Which client would the nurse anticipate as being most resistive to taking medications for both conditions?
- A. Male client who is exhibiting push of speech
- B. Female client who is having difficulty sleeping
- C. Male client who is convinced he is the president?s twin brother
- D. Female client who cannot establish and maintain eye contact
Correct Answer: C
Rationale: The male client with delusions of being the president?s twin brother (C) is likely experiencing psychosis, which often leads to medication resistance due to lack of insight. Push of speech (A) suggests mania but less resistance, sleep issues (B) and poor eye contact (D) are less indicative of non-compliance.
A 22-year-old college student was involved in an automobile accident that resulted in permanent cognitive and physical disability. The night of the accident, the client and his friends had been celebrating a friend?s birthday at a local bar. The friend who was celebrating a birthday had been driving, and he was killed during the accident. The client feels guilty about his friend?s death. Which of the following would be a priority assessment for this client?
- A. Risk for suicide
- B. Level of depression
- C. Social support systems
- D. Financial status
Correct Answer: A
Rationale: Risk for suicide (A) is the priority due to the client?s guilt and trauma from the accident, which increase suicidality in the context of new disabilities. Depression level (B), social support (C), and financial status (D) are important but secondary to ensuring safety.
A client with heart disease who had a myocardial infarction 2 months ago comes to the clinic for a follow-up visit. While assessing the client, the nurse would be alert most likely for the development of which of the following responses? Select all that apply.
- A. Personality disorder
- B. Depression
- C. Substance abuse disorder
- D. Anxiety disorder
- E. Delirium
Correct Answer: B,D
Rationale: Depression (B) and anxiety disorder (D) are common post-myocardial infarction due to emotional and physical stress. Personality disorders (A) are not typically triggered, substance abuse (C) is less directly linked, and delirium (E) is more acute and less likely 2 months post-event.