ATI RN
Concepts of Family Health Care Questions
Question 1 of 5
The most appropriate nursing intervention with Ginger (from question 7) would be to:
Correct Answer: B
Rationale: The correct answer is B: Work with Ginger on unresolved dependency issues. This is the most appropriate nursing intervention because it addresses the underlying problem that is leading Ginger to excessively rely on her mother for support. By working with Ginger on resolving her dependency issues, the nurse can help her develop healthier coping mechanisms and improve her independence. A: Suggest she move to a college closer to home - This does not address the root cause of Ginger's dependency issues and may not be a feasible or necessary solution. C: Help her find someone in the college town from whom she could seek assistance rather than calling her mother regularly - While this option offers an alternative support system, it does not address the core issue of dependency that Ginger is experiencing. D: Recommend that the college physician prescribe an antianxiety medication for Ginger - Medication may be helpful in managing symptoms, but it does not address the underlying dependency issues that Ginger is facing.
Question 2 of 5
The nurse is assisting in a teaching plan for the family of a patient with HIV. Which explanation about the transmission of HIV should the nurse include in this plan?
Correct Answer: B
Rationale: Step-by-step rationale: 1. HIV is mainly transmitted through contact with infected blood, such as sharing needles or blood transfusions. 2. Other modes, like casual contact, sharing utensils, tears, or saliva, do not contain enough virus to transmit HIV. 3. Understanding transmission modes helps prevent unnecessary fear and stigma. 4. By emphasizing the importance of avoiding contact with infected blood, the nurse empowers the family to protect themselves effectively. Summary: Choice B is correct as HIV is primarily spread through contact with infected blood. Choices A, C, and D are incorrect as they do not pose a significant risk of HIV transmission. It is crucial for the family to focus on accurate information to prevent unnecessary anxiety and take appropriate precautions.
Question 3 of 5
The nurse is collecting data for a patient with suspected exposure to HIV. Which symptoms would be most concerning in this patient?
Correct Answer: B
Rationale: The correct answer is B because fever, diarrhea, and sore throat are common symptoms associated with acute HIV infection. Fever is often the first symptom, followed by other flu-like symptoms such as diarrhea and sore throat. These symptoms may indicate an acute retroviral syndrome, which occurs within 2-4 weeks of initial HIV infection. Tremors, edema, coughing (Choice A) are not typical symptoms of acute HIV infection. Urticaria, sneezing, pruritus (Choice C) are more indicative of allergic reactions or other non-HIV related conditions. Abdominal pain, anorexia, vomiting (Choice D) are also not specific to HIV infection.
Question 4 of 5
The nurse is reviewing the use of a condom to prevent the transmission of HIV with a young adult patient seeking testing for HIV. Which patient statement indicates an understanding of how to use a condom?
Correct Answer: D
Rationale: The correct answer is D because withdrawing from the partner while the penis is erect helps prevent leakage of semen and reduces the risk of HIV transmission. Applying a condom before penile erection (Choice C) is incorrect as it may lead to condom slippage. Using a non-latex condom (Choice A) is important for those with latex allergies, but it doesn't address proper condom use. Applying oil-based lubricant (Choice B) is incorrect as it can weaken latex condoms, increasing the risk of breakage.
Question 5 of 5
The nurse notes that a patient with AIDS is prescribed trimethoprim-sulfamethoxazole (Bactrim). For which opportunistic infection should the nurse realize that is this medication indicated?
Correct Answer: D
Rationale: The correct answer is D: Pneumocystis jiroveci pneumonia. Trimethoprim-sulfamethoxazole is indicated for prophylaxis and treatment of Pneumocystis jiroveci pneumonia, a common opportunistic infection in patients with AIDS. This medication combination is effective in preventing this specific infection due to its spectrum of antimicrobial activity against Pneumocystis jiroveci. Choices A, B, and C are incorrect as trimethoprim-sulfamethoxazole is not primarily indicated for tuberculosis, cytomegalovirus retinitis, or Mycobacterium avium complex.