Concept of Family Health Nursing Care

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The nurse is contributing to a nutrition and hydration teaching plan for a patient who has AIDS. What recommendations should the nurse include in this plan? (Select all that apply.)

  • A. Avoid soft cheeses.
  • B. Avoid Caesar salad.
  • C. Avoid public drinking fountains.
  • D. Avoid all beers and all soft drinks.
Correct Answer: A

Rationale: Correct Answer: A

Rationale: Soft cheeses may contain harmful bacteria that can be dangerous for individuals with compromised immune systems like AIDS patients. The nurse should recommend avoiding soft cheeses to prevent foodborne illnesses. Soft cheeses are typically made from unpasteurized milk, which increases the risk of bacterial contamination. AIDS patients have weakened immune systems, making them more susceptible to infections.

Summary of Other Choices:
B: Avoiding Caesar salad is not necessarily a specific recommendation for AIDS patients unless there are additional factors to consider, such as the presence of certain raw ingredients that may pose a risk to the patient.
C: Avoiding public drinking fountains is a general hygiene recommendation that may apply to all individuals, not specific to AIDS patients.
D: Avoiding all beers and soft drinks is not a specific recommendation for AIDS patients unless there are additional factors such as alcohol interactions with medication or sugar content affecting blood sugar levels.

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Which type of intervention is not usually useful for Level 4 families?

  • A. Object relations family interventions
  • B. Family sculpting
  • C. Case management
  • D. Genograms
Correct Answer: C

Rationale: Level 4 families focus on abstract, philosophical concerns, so case management, which addresses concrete needs, is less relevant compared to insight-oriented interventions.

You are providing care to a permanently disabled Iraqi war veteran who is 28 years of age. When he returned home from the war at the age of 24 years of age 2 years ago he was deemed permanently disabled by both the Veterans Administration(VA) and the Social Security Administration. He receives a substantial monthly service connected disability check from the Veterans Administration and he has no spouse or legal dependents. Which type of governmental health insurance is he now entitled to?

  • A. Only the VA health care services because he is not 65 years of age
  • B. Medicare because he has been deemed permanently disabled for 2 years
  • C. Medicaid because he is permanently disabled and not able to work
  • D. Choices B and C
Correct Answer: B

Rationale: Medicare eligibility extends to individuals who have been deemed permanently disabled for 2 years.

In order to best evaluate the achievement of goals of individual stress management group members, the nurse leading the group:

  • A. Has each member at the last meeting write a short description of how the sessions helped him or her manage stress more effectively.
  • B. Asks each member at each session to demonstrate a stress management technique he or she has learned while attending the sessions.
  • C. Periodically asks the members to rate their ability to manage stress using the techniques learned in the group sessions on a Likert scale.
  • D. Has each member's ability to manage stress evaluated by the group at the final session.
Correct Answer: C

Rationale: The correct answer is C because using a Likert scale to periodically ask group members to rate their ability to manage stress with the techniques learned provides quantitative data for evaluating progress. This method allows for tracking changes over time and identifying trends in stress management improvement.

A is incorrect because it relies on subjective self-reporting at the last meeting only, which may not capture ongoing progress. B is incorrect as it focuses on individual demonstrations at each session, which may not reflect overall stress management improvement. D is incorrect as it relies on group evaluation at the final session, which may not provide consistent and individualized feedback throughout the program.

Which of the following correctly identifies the role of the physician and the patient in making health care decisions?

  • A. The physician is the ultimate authority in making decisions about a patient's health
  • B. The physician and the patient must establish together who makes decisions about the patient's health
  • C. The physician has little direct influence on the patient's personal health choices
  • D. Although it is the physician's responsibility to instruct the patient about his or her condition, the physician must ultimately respect the patient's personal health choices
Correct Answer: D

Rationale: Shared decision-making balances physician expertise with patient autonomy.

A health care worker is exposed to blood from a patient who has HIV. What action should the worker take after the exposure?

  • A. Apply alcohol to the site.
  • B. Cleanse the site with soap and water.
  • C. Flush the site with hot running water.
  • D. Apply a topical antibiotic to the site.
Correct Answer: B

Rationale: The correct answer is B: Cleanse the site with soap and water. This is because soap and water effectively clean and disinfect the wound, reducing the risk of infection. Alcohol may not be as effective in removing bloodborne pathogens like HIV. Flushing with hot water can cause tissue damage and is not recommended. Applying a topical antibiotic is not necessary for blood exposure and may not prevent HIV transmission. Proper cleansing with soap and water is crucial to minimize the risk of infection following exposure to bloodborne pathogens like HIV.

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