The plan of care for a patient who is HIV-positive calls for the ...

[SO00]

The plan of care for a patient who is HIV-positive calls for the nurse to observe the pa-tient for symptoms of AIDS dementia. Which symptoms support that diagnosis?
 
  a. Fever, night sweats, and nausea
  b. Elevated pulse, respirations, and blood pressure
  c. Inability to concentrate, forgetfulness, and apathy
  d. Increased appetite and specific food and drink cravings

Question 2

A patient with AIDS is feeling threatened by his inability to work and take care of the yard and garden he loves. Which patient outcome is appropriate at this time? The patient will:
 
  a. Explain his declining state of health to the family.
  b. Realign goals to achieve a positive emotional state.
  c. Enlist others to help him carry out his former tasks.
  d. Accept the fact he will not be able to assume previous roles.

[annierak]

Answer to Question 1

ANS: C
Behavioral and cognitive symptoms of AIDS dementia are poor concentration, inability to problem solve, apathy, social withdrawal, forgetfulness, slowness of thinking, and motor deficits. None of the other options would suggest the presence of AIDS dementia because they are not related to cognitive function.

Answer to Question 2

ANS: B
Goal realignment is necessary because it is not possible for the patient to carry out former roles. Acceptance is not stated in behavioral terms. Asking for help does not address the pa-tient's need to maintain self-worth and self-esteem. The family is not the focus of the ques-tion.