Nokea
Which action by the client is most suggestive of denial about the illness?
- A. The client conceals the information from family members.
- B. The client avoids contact with homosexual friends.
- C. The client responds to the former group of the nurse.
- D. The client has intercourse without using condoms.
Correct Answer: D
Rationale: Engaging in unprotected intercourse indicates denial of the HIV diagnosis, as it disregards the risk of transmission and personal health implications.
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The nurse counsels the team member privately about the inappropriate remark. What is the first step in understanding the behavior of clients?
- A. Understanding one's own behavior
- B. Analyzing what motivates clients' behavior
- C. Becoming more familiar with abnormal behavior
- D. Taking courses in counseling
Correct Answer: A
Rationale: Self-awareness of personal biases is the first step to understanding client behavior, ensuring objective and empathetic care.
The nurse accurately explains that cognitive therapy involves which of the following?
- A. Altering people's irrational beliefs
- B. Exposing people to things they fear
- C. Helping people verbalize their feelings
- D. Rewarding people's altered behaviors
Correct Answer: A
Rationale: Cognitive therapy focuses on identifying and modifying irrational beliefs to change maladaptive thought patterns, a key approach for phobias.
The indigent client with both emotional and physical diagnoses has just attended a discharge planning session with the nurse. Which client behavior shows the greatest commitment to the client’s self-management?
- A. Correctly stating the medications prescribed and the administration schedule
- B. Asking to stay with a relative until an affordable place to live can be found
- C. Researching the names of and calling contact people at local support centers
- D. Promising the nurse to keep the scheduled follow-up appointments at the clinic
Correct Answer: C
Rationale: Calling support centers (C) shows proactive engagement. Stating medications (A) seeking housing (B) and promising appointments (D) are less indicative of commitment.
The spouse of the client who is currently in inpatient treatment for substance abuse tells the nurse “We’ve done this so many times. I don’t think my spouse is ever going to change. Do you think it’s time for me to get a divorce?” Which response by the nurse is most helpful?
- A. “You don’t think your spouse is ever going to change?”
- B. “Sounds like you’re feeling discouraged in your marriage.”
- C. “Your spouse will likely continue to use and need treatment again.”
- D. “That’s your decision; I can’t tell you whether you should get a divorce.”
Correct Answer: B
Rationale: Validating discouragement (B) encourages exploration. Restatement (A) is less effective predicting relapse (C) is opinionated and dismissing (D) closes communication.
The female client tells the nurse “I usually have a few drinks after work but I always limit it to three. I’m not risking becoming addicted am I?” What is the nurse’s best response?
- A. “There is no harm in social drinking as long as you know your limits and you are not driving while intoxicated.”
- B. “As long as you don’t have any social problems associated with your use of alcohol you do not need to be concerned.”
- C. “If you are concerned about the frequency and the number of drinks consumed then you might be developing a dependency.”
- D. “Three drinks a day or seven drinks in a week is high-risk drinking for women. You seem concerned that you might have an alcohol dependency.”
Correct Answer: D
Rationale: Three drinks daily or seven weekly is high-risk for women (D). Social drinking (A) or social problems (B) don’t address risk and concern alone (C) misses education.