Nokea
The nurse is contributing to a teaching plan. What should the nurse emphasize as being the most effective method known to control the spread of HIV infection?
- A. Premarital serological screening
- B. Prophylactic exposure treatment
- C. HIV screening for pregnant women
- D. Education about preventive behaviors
Correct Answer: D
Rationale: The correct answer is D: Education about preventive behaviors. This is the most effective method to control the spread of HIV infection because it empowers individuals with knowledge on how to prevent transmission through safe practices such as condom use and avoiding sharing needles. Premarital serological screening (A) may only identify HIV infection in one partner and does not address prevention. Prophylactic exposure treatment (B) is a form of post-exposure prophylaxis, not a primary prevention method. HIV screening for pregnant women (C) is important for preventing mother-to-child transmission but does not directly control the spread among the general population.
You may also like to solve these questions
An older woman diagnosed with Alzheimers disease lives with family and attends day care. After observing poor hygiene, the nurse talked with the caregiver. This caregiver became defensive and said, It takes all my energy to care for my mother. Shes awake all night. I never get any sleep. Which nursing intervention has priority?
- A. Teach the caregiver about the effects of sundowners syndrome.
- B. Secure additional resources for the mothers evening and night care.
- C. Support the caregiver to grieve the loss of the mothers cognitive abilities.
- D. Teach the family how to give physical care more effectively and efficiently.
Correct Answer: B
Rationale: The patients caregivers were coping with care until the patient began to stay awake at night. The family needs assistance with evening and night care to resume their pre-crisis state of functioning. Secondary prevention calls for the nurse to mobilize community resources to relieve overwhelming stress. The other interventions may then be accomplished.
A teenager who has a history of alcohol abuse wants to host a holiday party at his home. In order to best implement family-based measures to prevent the use of alcohol or drugs the parents will:
- A. Refuse to allow the teenager to host the party.
- B. Insist upon being home and visible to the guests during the party.
- C. Allow the party only if it is held at a public space such as a church recreation room.
- D. Have all those attending sign a contract promising not to drink or use drugs during the party.
Correct Answer: B
Rationale: The correct answer is B because by insisting on being home and visible during the party, the parents can actively supervise and monitor the activities, deterring any alcohol or drug use. They can intervene promptly if any issues arise.
A: Refusing to allow the teenager to host the party may lead to rebellion and secretive behavior.
C: Allowing the party in a public space does not guarantee supervision or control over alcohol/drug use.
D: Having attendees sign a contract relies solely on their compliance without active supervision or monitoring.
An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?
- A. Between 0800 and 1000 today (6 to 8 hours after drinking stopped)
- B. Between 0200 tomorrow and hospital day 2 (24 to 48 hours after drinking stopped)
- C. About 0200 on hospital day 3 (72 hours after drinking stopped)
- D. About 0200 on hospital day 4 (96 hours after drinking stopped)
Correct Answer: B
Rationale: The correct answer is B because alcohol withdrawal symptoms typically peak between 24 to 48 hours after the patient stops drinking. This timeframe aligns with the onset of symptoms such as tremors, anxiety, and hallucinations. Choices A, C, and D are incorrect because withdrawal symptoms do not peak within 6 to 8, 72, or 96 hours after drinking cessation. It is crucial for the nurse to monitor the patient closely during this critical period to manage and prevent potential withdrawal complications.
Which statement made by a mental health nurse demonstrates the need for further education regarding active listening as a therapeutic communication technique?
- A. When I use therapeutic silence, I'm giving the client time to think and reflect.'
- B. Sharing perceptions doesn't mean I tell the client how my experiences are similar to his.'
- C. I generally find it helpful to ask the client why he blames others for the mistakes he's made.'
- D. It's not therapeutic to give the client suggestions as to what he needs to do to fix his problems.'
Correct Answer: C
Rationale: The correct answer is C because asking the client why he blames others is not a recommended approach in active listening. This statement shows a lack of understanding of active listening principles. Active listening focuses on listening without judgment or assumptions, understanding the client's perspective, and reflecting back their feelings. Asking why a client blames others can come across as confrontational and may hinder the therapeutic relationship. Choices A, B, and D demonstrate an understanding of active listening principles by emphasizing the importance of silence, avoiding sharing personal experiences, and refraining from giving direct advice, respectively.
The child's ability to understand logical relationships develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Logical relationships, like classification, develop in the concrete operational stage (Piaget).