The nurse working in a homeless shelter recognizes that recent research indicates that the best approach for decreasing the risk of HIV transmission in the intravenous drug user population in the shelter focuses on:
A) Teaching abstinence from addicting drugs
B) Teaching the individuals on methods to clean their syringes
C) Referring the individuals to a needle exchange program
D) Referring the individuals to a local emergency room to get a prescription for new needles and syringes
Ans: C
Feedback: The harm reduction model recognizes that abstinence from addicting drugs might not be a realistic short-term goal. This model recommends working with drugs users to assist them in increasing their healthy behaviors. Needle exchange programs are available so that injection drug users can obtain sterile drug equipment at no cost. Referral to a needle exchange program is the best approach for decreasing the risk of HIV transmission in this population. Referral to a local emergency room is not an acceptable approach, as it will produce no beneficial results for the individual and may lead to legal action against him. The second-best approach in the absence of a needle exchange program is instructing the drug user on methods of cleaning his syringe and to avoid sharing cotton and drug use equipment.
You might also like to view...
In an individual with otitis externa, which of these signs would the nurse expect to find on assessment?
a. Rhinorrhea b. Periorbital edema c. Pain over the maxillary sinuses d. Enlarged superficial cervical nodes
A patient has been diagnosed with rheumatoid arthritis and is experiencing pain and decreased mobility. Etanercept has been proposed as possible treatment option
Which of the following characteristics of this patient would likely preclude the use of etanercept? A) The patient has chronic osteomyelitis resulting from a diabetic foot ulcer. B) The patient is morbidly obese and leads a sedentary lifestyle. C) The patient uses a topical corticosteroid when he experiences contact dermatitis on his hands. D) The patient has a family history of cancer.
The first draft of a grant proposal has been completed to fund a study into the nursing care of patients who have experienced an acute cerebrovascular accident (CVA)
Which of the following statements is most likely to persuade reviewers to fund the project? A) "This study will address many of the most common aspects of stroke care that are applicable to numerous healthcare settings." B) "This study has the potential to discount much of the substandard, antiquated, and dangerous practice that is prevalent in American hospitals." C) "This study may provide new knowledge with the goal of improving the outcomes of stroke patients." D) "This study will enhance our team's research skills while simultaneously improving stroke care."
The nurse is reinforcing teaching on the rising incidence of HIV in adults over the age of 50 with a group of senior community members. Which factors should the nurse include? (Select all that apply.)
a. Older adults are less likely to use condoms than younger at-risk adults. b. At-risk individuals over the age of 50 are less likely to be tested for HIV. c. Society continues to age with larger numbers of people entering this age group. d. A decline in the function of the immune system increases the risk of HIV infection. e. Decreased vaginal dryness and friability of tissues increases the risk of HIV in older women. f. Treatments for erectile dysfunction have increased the number of older individuals who are sexually active.