Nokea
Which initial reaction would the nurse expect if the client is typical of others who just received news of this diagnosis?
- A. Anger
- B. Shock
- C. Resentment
- D. Depression
Correct Answer: B
Rationale: Shock is the most common initial reaction to an HIV diagnosis, as it reflects the overwhelming and unexpected nature of the news.
You may also like to solve these questions
The nurse correctly informs the caller that most people have which physical signs after recent marijuana use? Select all that apply.
- A. Shivering
- B. Inflamed eyes
- C. Rapid pulse
- D. Restlessness
- E. Pinpoint pupils
- F. Increased sex drive
Correct Answer: B,C,D
Rationale: Recent marijuana use commonly causes inflamed (red) eyes due to vasodilation, rapid pulse from cardiovascular stimulation, and restlessness from its psychoactive effects.
While caring for a client who is withdrawing from alcohol, the nurse must assess for what additional complication?
- A. Hypothermia
- B. Seizures
- C. Ascites
- D. Jaundice
Correct Answer: B
Rationale: Seizures are a serious complication of alcohol withdrawal, requiring vigilant monitoring due to their potential for harm.
If a client is typical of other victims who remain in abusive relationships, what is the client most likely to believe?
- A. The client is not in any serious danger.
- B. The client can turn to the family for protection.
- C. The client can prevent the battering behavior.
- D. The client is free to leave the home at any time.
Correct Answer: C
Rationale: Victims often believe they can control or prevent the abuse, reflecting denial or rationalization that keeps them in the abusive situation.
When debriefing the unit’s staff after the client’s catastrophic reaction the nurse stresses the need for the staff to remain calm during the event. Which statement should be the basis for the nurse’s comment?
- A. The client’s safety is at jeopardy if the staff is feeling threatened.
- B. An agitated staff will not be able to manage the situation as effectively.
- C. The client will sense the staff’s agitation and aggressive behavior will escalate.
- D. An agitated staff response is indicative of a need for additional crisis-control training.
Correct Answer: C
Rationale: Staff agitation escalates client aggression (C). Safety (A) management (B) and training (D) are secondary concerns.
The nurse reviews various treatment options with the group members. Which of the following are considered most therapeutic in treating obsessive-compulsive disorder (OCD)? Select all that apply.
- A. Selective serotonin reuptake inhibitors (SSRIs) such as fluvoxamine (Luvox)
- B. Electroconvulsive therapy (ECT)
- C. Cognitive-behavioral therapy
- D. Surgical prefrontal lobotomy
- E. Tranquilizers such as diazepam (Valium)
- F. A self-help class on the Internet
Correct Answer: A,C
Rationale: SSRIs and cognitive-behavioral therapy, particularly exposure and response prevention, are evidence-based treatments for OCD, targeting symptoms effectively.