Author Question: A prostitute infected with the human immunodeficiency virus (HIV) and severe complications is being ... (Read 36 times)

Coya19@aol.com · **on:** Jul 22, 2018

A prostitute infected with the human immunodeficiency virus (HIV) and severe complications is being cared for on a medical unit. The nurse is seeking to develop a therapeutic relationship with the client.

Which of the following statements best reflects the nurse's attempt to support the client's self-exploration? a. What type of support do you feel you need?
b. Don't be embarrassed by your former occupation.
c. On what type of schedule do you think you could realistically eat your meals without being nauseated?
d. The people who work here are professionals and will try not to judge your past actions.

Question 2

A client is pregnant for the third time. In regard to her nutritional status, which of the following applies?

a. The client should be given rigid recommendations about weight gain.
b. The client should approximately double her protein intake.
c. The client should increase her vitamin A and milk-product consumption.
d. The client should eat a variety of foods from the four food groups.

wuly · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A

Feedback
A Encouraging the client's self-exploration is achieved by accepting the client's thoughts and feelings, by helping the client to clarify interactions with others, and by being empathetic.
B Telling the client not to be embarrassed does not encourage self-exploration. It also assumes that the client is embarrassed, which may not be the case.
C The statement, On what type of schedule do you think you could realistically eat your meals without being nauseated?, involves the client in a decision-making process related to the client's care but does not support the client's self-exploration. Self-exploration expands self-awareness.
D The statement, The people who work here are professionals and will try not to judge your past actions, is not therapeutic. Telling the client that staff will try not to judge the client's past implies that judgement is due and does not encourage open communication and self-exploration.

Answer to Question 2

D
The client should choose extra nutrition by eating a variety of foods from the four food groups to ensure adequate vitamin, mineral, and nutritional intake.
Rigid recommendations about weight gain should be avoided, as the quality of nutrition during pregnancy is more important than weight gain. The kilocalories consumed per day are guidelines recommended in Eating Well With Canada's Food Guide for energy requirements during preg-nancy.
The client needs to increase her protein intake to 60 g during pregnancy, but she does not need to double it. (This would be an increase of approximately 20 g of protein.)
Prenatal care usually includes vitamin and mineral supplementation to ensure daily intakes. The recommended intake of vitamin A does not increase over that of the non-pregnant state.