Exam 29: Mental and Emotional Responses to Medical Illness

A patient has been hospitalized with problems related to AIDS and is experiencing profound dementia.Which intervention will be most helpful in assisting the family to adjust and plan for the patient's future?

A patient with AIDS persistently uses denial with respect to the seriousness of the condition.The nurse will need to be alert for the presence of defining characteristics for the nursing diagnosis of:

When planning care for a patient newly diagnosed with AIDS,the nurse takes into consideration that the patient should be closely monitored for covert symptoms associated with:

The nurse manager is interviewing staff to work on the AIDS unit and asks the applicants this question: "How do you feel about working with patients who have AIDS?" The best candidate for the position would be the applicant who responds:

At an educational session for patients with HIV infection and their support persons,the nurse is asked,"If the incidence of AIDS has declined,why is it that its prevalence has increased?" The nurse can explain this by responding:

Which statement made by a patient with AIDS indicates that the patient is exhibiting symptoms associated with acute psychotic-type dementia?

A patient diagnosed with HIV has moved back to her small hometown to be close to family.The major impact on the health management of this patient will include:

A patient with HIV infection asks the nurse,"What do they mean by opportunistic infections?" The nurse's best response would be,"They are:

A patient with AIDS tells the nurse,"My recent life has been a series of losses.I've lost my job and my income,as well as my identity as a prominent business leader.What's next?" What can the nurse offer that will facilitate adaptive coping?

A teenaged patient hospitalized with the diagnosis of HIV places a "No Visitors" sign on the door,refuses phone calls,and states to the nurse,"I know you don't want to be around me." Which of these nursing diagnoses is applicable to this situation?

A patient who is HIV-seropositive continues to use heroin on a daily basis but has agreed that his behavior endangers others and promises not to share needles.What can the nurse give as a realistic estimate for success in attaining this outcome?

A patient who received a diagnosis of HIV infection a week ago,reports to the clinic nurse symptoms that are seen in acute anxiety.Which behaviors are supportive of that diagnosis? Select all that apply.

Which intervention addresses a strategy identified by the federal government to achieve an HIV-free generation?

Which factor should be the primary consideration when assessing the advisability of prescribing psychotropic medications for a patient with AIDS?

While being bathed,a patient with AIDS asks the nurse,"Aren't you afraid of getting this disease from me?" Which response would be most therapeutic?

A patient newly diagnosed with diabetes has also been diagnosed with depression.The nurse knows to be alert for:

A patient diagnosed with AIDS is observed attempting to hide an article on the subject of lethal injections.Which response by the nurse would be most appropriate?

A patient recently diagnosed with HIV infection reports symptoms that support a diagnosis of adjustment disorder.These symptoms include telling the nurse,"I feel so sad every time I think of my diagnosis.I cry a lot,and I don't go out as much as I did before.It just doesn't seem right to laugh.I don't have a good appetite,but I force myself to eat something at every meal,so I haven't lost weight." From this description,the nurse would determine that the patient's symptoms most closely correspond to those of (select all that apply):

Which remark by a patient would suggest that the treatment plan for a patient with AIDS has been successful in promoting decisional control?

The nurse is preparing to teach a patient who is newly diagnosed with diabetes about medications and blood testing.As the teaching occurs,the nurse knows that effective coping will depend to a great degree on the patient's: