Which remark by a patient would suggest that the treatment plan for a patient with AIDS has been successful in promoting decisional control?
a. "I recognize that what I've lost, I will never be able to regain."
b. "I've learned enough about my disease to be able to make informed decisions."
c. "I'll be happy when my suffering comes to an end and I can join my partner."
d. "I see no advantage in antiviral therapy. The side effects are worse than the symptoms of AIDS."
ANS: B
This response reflects the patient's satisfaction with his knowledge of the disease and his ability to make informed decisions. Suggesting limitations has a sense of powerlessness. Dis-cussing what happens after death shows resignation to impending death. Discussing side ef-fects reflects a poor quality of life.
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Studies of workers' compensation claims show that the profession that has the highest claim rates of any occupation or industry is:
a. firefighters. b. truck drivers. c. law enforcement. d. nursing personnel.
A 34-year-old man has been diagnosed with HSV-2 and is preparing to begin treatment with acyclovir (Zovirax). When providing health education about his new medication regimen, what information should the nurse provide to this patient?
A) The drug may relieve his symptoms but it will not cure him of herpes. B) The drug requires several months of conscientious adherence to cure HSV-2. C) This antiviral medication will prevent him from transmitting the disease to a partner. D) This drug will suppress his immune system but relieve the signs and symptoms of the disease.
The nurse determines that teaching about management of migraine headaches has been effective when the patient says which of the following?
a. "I can take the (Topamax) as soon as a headache starts." b. "A glass of wine might help me relax and prevent a headache." c. "I will lie down someplace dark and quiet when the headaches begin." d. "I should avoid taking aspirin and sumatriptan (Imitrex) at the same time."
What disorder of the chest best describes her symptoms?
A 60-year-old baker presents to your clinic, complaining of increasing shortness of breath and nonproductive cough over the last month. She feels like she can't do as much activity as she used to do without becoming tired. She even has to sleep upright in her recliner at night to be able to breathe comfortably. She denies any chest pain, nausea, or sweating. Her past medical history is significant for high blood pressure and coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is retiring from the local bakery soon. She denies any tobacco, alcohol, or drug use. Her mother died of a stroke and her father died from prostate cancer. She denies any recent upper respiratory illness, and she has had no other symptoms. On examination she is in no acute distress. Her blood pressure is 160/100 and her pulse is 100. She is afebrile and her respiratory rate is 16. With auscultation she has distant air sounds and she has late inspiratory crackles in both lower lobes. On cardiac examination the S1 and S2 are distant and an S3 is heard over the apex. A) Pneumonia B) Chronic obstructive pulmonary disease (COPD) C) Pleural pain D) Left-sided heart failure