The nurse is caring for a client diagnosed with HAND resulting from AIDS. Which of the following would be most important for the nurse to assess?

Correct Answer: B

Rationale: The correct answer is B: Cognitive impairment. For a client with HIV-associated neurocognitive disorder (HAND), assessing cognitive impairment is crucial as it directly impacts their ability to perform daily activities and make informed decisions. Cognitive assessment helps in determining the extent of cognitive decline and planning appropriate interventions. Sensory impairment (choice A) may be important but is not the priority in HAND. Social behaviors (choice C) and anxiety state (choice D) are also important but assessing cognitive impairment takes precedence due to its direct impact on the client's overall functioning.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates therapeutic communication by acknowledging the patient's experience without judgment and encourages further exploration of the hallucinations. Choice A dismisses the patient's experience, choice B invalidates their reality, and choice D does not address the patient's experience or encourage further discussion. Using open-ended questions like in choice C promotes trust and allows the patient to express their thoughts and feelings.

Correct Answer: B

Rationale: The correct answer is B: Dehydration and caffeine overdose. Maxwell's symptoms of feeling like having a stroke are likely due to severe dehydration and excessive caffeine consumption. Dehydration can cause dizziness, confusion, and weakness, mimicking stroke symptoms. Caffeine overdose can lead to increased heart rate, tremors, and anxiety, exacerbating these symptoms. Working for 36 hours straight without eating also contributes to dehydration and electrolyte imbalances. Choices A, C, and D are incorrect as there are no indications of fluid overload, benzodiazepine overdose, or sleep deprivation syndrome in this scenario.

Correct Answer: A

Rationale: A laissez-faire leader is best suited for an art group because they are typically creative, self-motivated, and independent individuals who thrive in an environment with minimal supervision. This leadership style allows members to have freedom in their artistic expression and encourages innovation. In contrast, a grief group, social skills group, and anger management group would benefit more from a more structured and supportive leadership style to provide guidance, encouragement, and emotional support, which are essential for addressing the specific needs and challenges of these groups.

Correct Answer: B

Rationale: The correct answer is B because nursing forums and professional organizations' websites are reliable sources for finding databases and evidence-based practice resources in nursing. These platforms are specifically curated to provide accurate and up-to-date information for healthcare professionals. They are peer-reviewed and endorsed by experts in the field, ensuring credibility and relevance. In contrast, popular search engines like Google may yield unreliable or outdated information, personal blogs lack authority and validation, and entertainment websites are not relevant to evidence-based practice in nursing.