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Author Question: Following two weeks of flu-like symptoms, a 33-year-old woman presented to her primary care provider ... (Read 93 times)

cherise1989

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Following two weeks of flu-like symptoms, a 33-year-old woman presented to her primary care provider who included HIV testing in the client's order blood work. The results of the test have come back positive.
 
  Which of the client's following statements is most characteristic of the first stage of the grief reaction to HIV/AIDS diagnosis?
 
  A) If my boyfriend hadn't been sleeping around, this never would have happened.
  B) I can't believe I was so stupid. I can't believe I did this to myself.
  C) Let's do a repeat test. I'm pretty sure that something's got mixed up with this test.
  D) I don't know what to say. I'm struck dumb. I don't know what to say.

Question 2

Which of the following characteristics differentiates the psychiatric consequences of AIDS from the neuropsychiatric syndromes associated with the disease?
 
  A) Neuropsychiatric syndromes result from organic changes to the CNS, while psychiatric disorders often have a psychosocial etiology.
  B) Psychiatric disorders are treatable, whereas neuropsychiatric syndromes are usually untreatable.
  C) Neuropsychiatric syndromes represent the progression of preexisting, inadequately treated psychiatric disorders.
  D) Neuropsychiatric syndromes can cause the emergence of psychiatric disorders in certain clients with AIDS.



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k2629

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Answer to Question 1

Ans: D
The initial stage of the grief reaction to HIV/AIDS diagnosis consists of shock, numbness, and disbelief. Blame of oneself or someone else is likely to emerge later, as is denial of the validity of the results.

Answer to Question 2

Ans: A
Comorbid psychiatric disorders in clients with HIV infection or AIDS including substance abuse, anxiety disorders, depressive disorders, adjustment disorders, and psychotic disorders are normally a result of the psychosocial aspects of HIV diagnosis. Neuropsychiatric syndromes are neurologic symptoms occurring as the result of organic disturbances of the central nervous system that constitute a recognizable psychiatric condition. Both may or may not be treatable, and there is not necessarily a cause-and-effect relationship between the two types of disorders.





 

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