ATI RN
Concept of Family Health Care Questions
Question 1 of 5
The desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety is:
Correct Answer: C
Rationale: The correct answer is C because it focuses on managing the anxiety at a manageable level, which is a realistic and achievable goal in the short term. This approach acknowledges the individual's current state and aims to provide coping strategies to help them function despite the anxiety. Option A is incorrect as it is unrealistic to expect no anxiety after a traumatic event. Option B is not the immediate priority when the individual is experiencing panic anxiety. Option D is also incorrect as self-acceptance may be a long-term goal but is not the immediate focus in managing panic anxiety.
Question 2 of 5
The nurse is preparing to care for a patient who is HIV positive. Which action should the nurse take when following standard precautions for protection from HIV exposure?
Correct Answer: A
Rationale: The correct answer is A: Put on gloves before touching body fluids. This is because wearing gloves is a standard precaution to prevent exposure to HIV through contact with bodily fluids. Gloves create a barrier between the nurse's skin and the patient's fluids, reducing the risk of transmission. Recapitulating needles (B) can increase the risk of needle-stick injuries. Washing own open skin lesions (C) is important for personal hygiene but does not prevent HIV transmission. Removing one finger on a glove (D) compromises the protective barrier and exposes the nurse to potential infection.
Question 3 of 5
The nurse is participating in the planning of care for a patient who has HIV. Which therapeutic action should the nurse recognize as the treatment goal for HIV?
Correct Answer: D
Rationale: The correct answer is D: Keeping the virus from replicating. The primary treatment goal for HIV is to maintain an undetectable viral load by inhibiting viral replication through antiretroviral therapy. This helps to prevent progression to AIDS and reduces the risk of transmission. A: Stimulating the immune system is not the primary goal as HIV specifically targets and weakens the immune system. B: Treating opportunistic infections is important but not the primary goal; it's a consequence of HIV-related immune suppression. C: Killing the virus with medication is not entirely possible due to HIV's ability to integrate into host DNA; the focus is on viral suppression to prevent replication.
Question 4 of 5
The nurse is caring for a patient who has AIDS. For which opportunistic lung infection caused by a fungus should the nurse monitor in this patient?
Correct Answer: D
Rationale: The correct answer is D: Pneumocystis jiroveci pneumonia. Patients with AIDS are at high risk for opportunistic infections, particularly Pneumocystis jiroveci pneumonia due to their compromised immune system. This infection is a common cause of respiratory issues in AIDS patients. Monitoring for this specific infection is crucial for early detection and treatment. A: Tuberculosis is also a common opportunistic infection in AIDS patients, but the question specifically mentions a lung infection caused by a fungus, ruling out tuberculosis. B: Cytomegalovirus is a viral infection, not caused by a fungus, hence it is not the correct answer. C: Candida albicans is a fungal infection, but it typically affects mucous membranes like the mouth and throat, not the lungs as specified in the question.
Question 5 of 5
The nurse is contributing to a teaching plan. What information should the nurse include that identifies the methods in which HIV can be transmitted? (Select all that apply.)
Correct Answer: D
Rationale: Step 1: HIV is primarily transmitted through body fluids containing high concentrations of the virus, such as semen. Step 2: Semen contains a high viral load, making it a common mode of HIV transmission. Step 3: Other body fluids like urine, sweat, and saliva do not typically contain high enough levels of the virus to transmit HIV. Step 4: Therefore, option D (Semen) is correct as it aligns with the established modes of HIV transmission. Summary: Urine, sweat, and saliva do not pose a significant risk for HIV transmission due to their low viral load. Semen, on the other hand, contains high concentrations of the virus, making it a primary mode of transmission.