After receiving a health risk assessment, a client with HIV is told that they have hypercholesterolemia. To reduce the high levels cholesterol the nurse instructs the client to:

1. Limit exercise to avoid fatigue.
2. Avoid low-fat milk, cheese, and yogurt.
3. Limit all meat intake.
4. Remove the skin from meat.


4

Rationale: Saturated fatty acids directly raise LDL-C. Removing the skin from meat will reduce saturated fat content there by lowering cholesterol. Instruct the client on practical methods of exercise for 30 minutes most days of the week to increase HDL-C. Low-fat milk, cheese, and yogurt all contain low saturated fat content. Limit red meats and choose lean meats (turkey, chicken).

Nursing

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A 74-year-old woman states that many of her peers underwent hormone replacement therapy (HRT) in years past. The woman asks the nurse why her primary care provider has not yet proposed this treatment for her

What fact should underlie the nurse's response to the woman? A) The risks of stroke and breast cancer are unacceptably high in women taking HRT. B) HRT was found to cause mood disturbances in many of the women who used it long term. C) HRT was found to be a significant risk factor for bone fractures and osteoporosis. D) The risks of chronic obstructive pulmonary disease were found to be significantly higher in women taking HRT.

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A patient had a distorted thought pattern, which led to very uncomfortable feelings and inappropriate behaviors. Which of the following types of therapy would most likely be successful?

a. Behavioral therapy b. Cognitive-behavioral therapy c. Family therapy d. Group therapy

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A 4-year-old boy presents with a chronic cough and swollen lymph nodes. His records show that he has been given antibiotics several times in the past year with limited success,

most recently for a liver abscess, and that he also has a recurring fungal skin condition. Which of the following is his most likely diagnosis? A) Selective IgA deficiency B) A deficiency in IgG2 subclass antibodies C) Chronic granulomatous disease D) Ataxia-telangiectasia

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An adolescent believes that people from the Bronx are stupid. What does this type of belief represent?

A) Group analysis B) Definitive analysis C) Ethnocentrism D) Stereotyping

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