AND CORRECT ANSWERS (VERIFIED ANSWERS) AND RATIONALES
|ALREADY
A nurse is working with a patient who was diagnosed with HIV several
months earlier. The nurse should recognize that a patient with HIV is
considered to have AIDS at the point when the CD4+ T-lymphocyte
cell count drops below what threshold?
A) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
C) 325 cells/mm3 of blood
D) 450 cells/mm3 of blood
B) 200 cells/mm3 of blood
When CD4+ T-cell levels drop below 200 cells/mm3 of blood, the person is
said to have AIDS.
A nurse is planning a patients care and is relating it to normal
immune response. During what stage of the immune response should
the nurse know that antibodies or cytotoxic T cells combine and
destroy the invading microbes?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
D) Effector stage
In the effector stage, either the antibody of the humoral response or the
cytotoxic (killer) T cell of the cellular response reaches and couples with the
antigen on the surface of the foreign invader.
A nurse is planning the assessment of a patient who is exhibiting
signs and symptoms of an autoimmune disorder. The nurse should
be aware that the incidence and prevalence of autoimmune diseases
is known to be higher among what group?
A) Young adults
B) Native Americans
,C) Women
D) Hispanics
C) Women
Many autoimmune diseases have a higher incidence in females than in
males, a phenomenon believed to be correlated with sex hormones.
Middle-aged adults are part of an age group that is known to be
interested in health and health promotion, and the nurse is planning
health promotion activities accordingly. To what suggestions do
members of this age group usually respond with enthusiasm? Select
all that apply.
A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
D) Strategies for adhering to prescribed therapy
E) Exercise for the aging
A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
Young and middle-aged adults represent an age group that not only
expresses an interest in health and health promotion but also responds
enthusiastically to suggestions that show how lifestyle practices can
improve health; these lifestyle practices include nutrition and exercise.
Middle-aged adults may not respond positively to teaching aimed at the
aging. Adherence is not noted to be a desired focus in this age group.
A nurse has been working with Mrs. Griffin, a 71-year-old patient
whose poorly controlled type 1 diabetes has led to numerous health
problems. Over the past several years Mrs. Griffin has had several
admissions to the hospital medical unit, and the nurse has often
carried out health promotion interventions. Who is ultimately
responsible for maintaining and promoting Mrs. Griffins health?
,A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffins primary care provider
D) Mrs. Griffin
D) Mrs. Griffin
American society places a great importance on health and the
responsibility that each of us has to maintain and promote our own health.
Therefore, the other options are incorrect.
An elderly female patient has come to the clinic for a scheduled
follow-up appointment. The nurse learns from the patients daughter
that the patient is not following the instructions she received upon
discharge from the hospital last month. What is the most likely factor
causing the patient not to adhere to her therapeutic regimen?
A) Ethnic background of health care provider
B) Costs of the prescribed regimen
C) Presence of a learning disability
D) Personality of the physician
B) Costs of the prescribed regimen
Variables that appear to influence the degree of adherence to a prescribed
therapeutic regimen include gender, race, education, illness, complexity of
the regimen, and the cost of treatments.
A gerontologic nurse has observed that patients often fail to adhere
to a therapeutic regimen. What strategy should the nurse adopt to
best assist an older adult in adhering to a therapeutic regimen
involving wound care?
A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check
, for comprehension.
D) Delegate the dressing change to a trusted family member.
A) Demonstrate a dressing change and allow the patient to practice.
The nurse must consider that older adults may have deficits in the ability to
draw inferences, apply information, or understand major teaching points.
Demonstration and practice are essential in meeting their learning needs.
A 20-year-old man newly diagnosed with type 1 diabetes needs to
learn how to self-administer insulin. When planning the appropriate
educational interventions and considering variables that will affect his
learning, the nurse should prioritize which of the following factors?
A) Patients expected lifespan
B) Patients gender
C) Patients occupation
D) Patients culture
D) Patients culture
One of the major variables that influences a patients readiness to learn is
the patients culture, because it affects how a person learns and what
information is learned.
The nurse is planning to teach a 75-year-old patient with coronary
artery disease about administering her prescribed antiplatelet
medication. How can the nurse best enhance the patients ability to
learn?
A) Provide links to Web sites that contain evidence-based
information.
B) Exclude family members from the session to prevent distraction.
C) Use color-coded materials that are succinct and engaging.
D) Make the information directly relevant to the patients condition.
D) Make the information directly relevant to the patients condition.