Author Question: A patient with AIDS tells the nurse, My recent life has been a series of losses. I've lost my job ... (Read 18 times)

big1devin · **on:** Jul 19, 2018

A patient with AIDS tells the nurse, My recent life has been a series of losses. I've lost my job and my income, as well as my identity as a prominent business leader. What's next? What can the nurse offer that will facilitate adaptive coping?

a. I can see that you're feeling discouraged and hopeless.
b. I will help you plan to live as normally as possible in the months ahead.
c. Perhaps it would be wise to restrict your contacts to those who know of your illness.
d. If you wish, I can help you investigate to see if you have been the victim of dis-crimination.

Question 2

A patient diagnosed with HIV has moved back to her small hometown to be close to family. The major impact on the health management of this patient will include:

a. Emotional toll on families
b. The lack of supportive services
c. Financial burden of care on families
d. Distance from emergency acute care facilities

medine · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Nurses who engage in problem solving with patients help minimize the patient's burden of adapting to the disease. With this remark, the nurse is assisting the patient to make plans to maintain the highest level of functioning possible. Achieving the goal of living as normally as possible will enhance self-esteem. Focusing on negative feelings does not help the patient move ahead. To suggest severing relationships at a time when social networking is important is inappropriate. Discussing discrimination does not move the patient into the future.

Answer to Question 2

ANS: B
This migration has raised concern about the adequacy of health care and supportive services in regions where many do not understand HIV/AIDS and where specialists are typically not available. Although the other options are impactful, they do not have the same impact on the basic lack of needed services.