Author Question: A 43-year-old African-American client is HIV positive. She has a personal history of abuse, which ... (Read 44 times)

drink · **on:** Jul 8, 2018

A 43-year-old African-American client is HIV positive. She has a personal history of abuse, which ended when her husband died 2 years ago.

When counseling the client about adherence to her treatment plan, the nurse finds her intelligent and goal oriented. In addition to her need for education and follow-up regarding her HIV diagnosis and treatment, which associated condition should the nurse most consider when caring for this client?
A) Cardiac tamponade
B) Chronic obstructive pulmonary disease
C) Posttraumatic stress disorder
D) Cirrhosis of the liver

Question 2

The nurse works at community clinic that provides various types of health screenings for members of the community. One day, the nurse provides tuberculin tests for a group of new hospital employees. Which type of screening procedure is this?

A) Mass screening
B) Selective screening
C) Multiphasic screening
D) Case finding

Moriaki · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: C
Feedback:
When providing physical care to clients with HIV and working to decrease communicability using the ecological model, consider the client's mental health symptoms, severity/frequency of the effects from significant trauma, such as posttraumatic stress disorder, substance use and abuse, and addiction. Cardiac tamponade, chronic obstructive pulmonary disease, and cirrhosis of the liver are not typically associated with either HIV or a history of abuse.

Answer to Question 2

Ans: B
Feedback:
Selective screening is performed for specific high-risk populations, such as tuberculin tests for hospital employees. Mass screening is performed on an entire population, such as blood lead level screening, Papanicolaou (Pap) smears, and phenylketonuria of newborns. Multiphasic screening involves a variety of screening tests applied to the same population on the same occasion, such as a series of tests performed on a single blood sample, periodic surveillance of drug therapy, and monitoring the stage of an illness. Case finding is a type of screening ordered by a clinician when searching for illness as part of a client's periodic health examination.