Community Health Verified Questions and Answers Test Bank -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Decreased sensitivity. In clients with AIDS, the immune system is compromised, leading to a decreased ability to mount a response to antigens, such as the one in the tuberculosis skin test. This results in a higher likelihood of false-negative results, as the client may have tuberculosis but not have a strong enough immune response to produce a positive result.
Therefore, the nurse should anticipate a decreased sensitivity in this population.

A: Decreased positive predictive value is not directly impacted by the client's immune status but rather by the prevalence of the disease in the population.
B: Decreased reliability is a vague term and not specific to the immune status of the client.
D: Decreased specificity is not typically affected by the client's immune status but rather by the test's ability to correctly identify those without the disease.

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