Nokea
The nurse is monitoring a patient with AIDS. Which manifestation should the nurse expect to observe in this patient?
- A. Diarrhea
- B. Chest pain
- C. Hypertension
- D. Pustular skin lesions
Correct Answer: A
Rationale: The correct answer is A: Diarrhea. Patients with AIDS commonly experience diarrhea due to opportunistic infections or medications. This can lead to dehydration and malnutrition. Choice B is incorrect because chest pain is not a typical manifestation of AIDS. Choice C is incorrect as hypertension is not a common symptom of AIDS. Choice D is incorrect as pustular skin lesions are not typically associated with AIDS. Monitoring for diarrhea is crucial to prevent complications in AIDS patients.
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Which basic activity of daily living assistive device can be useful for the client who is affected with poor fine motor coordination?
- A. An aphasia aid
- B. A button hook
- C. Honey thickened liquids
- D. A word board
Correct Answer: B
Rationale: A button hook (B) aids fine motor tasks like dressing.
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.
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.
Psychologicalization of illness' is best defined by which of following statements?
- A. Redefinition of illness as an intangible process
- B. Examination of the effects of physical illness on a patient's mental capacity
- C. The stress response to acute illness
- D. Overemphasis on psychological factors without just evidence
Correct Answer: D
Rationale: Psychologicalization overattributes symptoms to mental causes without evidence.
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.