A client has a tuberculin skin test as a pre-employment physical requirement. Which statement by the nurse is best made to the client who has the test result seen in the photograph below?

a. "Your PPD is negative. No further fol-low-up is necessary."
b. "You will need to have a second PPD."
c. "You will need to have titers drawn."
d. "You will need further testing."


D
The tuberculin test (Mantoux test) result is the most commonly used reliable test of TB infection. The photo shows a positive reaction. A positive reaction does not mean that active disease is present but indicates exposure to TB or the presence of inactive (dormant) disease. Conclusive evidence of TB is not provided through an examination of the chest or a chest x-ray. Only a spu-tum specimen will provide definitive evidence of the disease process.

Nursing

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You are admitting a client to the clinic who exhibits psychophysiologic behaviors. What nursing intervention would be appropriate to use with this patient?

A) Confront the client when he or she exhibits psychophysiologic behaviors. B) Recognize that the physical complaints are phantom to the client even though supportive medical evidence is lacking. C) Remember that the client is not consciously trying to be sick or avoid responsibilities. D) Observe behaviors unrelated to current illness.

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Which of the following is true about theoretical sampling?

a. All studies use theoretical sampling as a background for creating the sample. b. Grounded theory research frequently uses theoretical sampling to develop a selected theory. c. Subjects are selected to participate in a research study to match certain theory characteristics. d. Theoretical sampling is a little-used, but powerful method of creating a sample for quantitative research.

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The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment. Which goal is a priority at this time?

a. Identifying local self-help groups before being discharged from the program b. Stating a plan to never be tempted by illicit substances after discharge c. Staying away from all triggers that cause substance abuse d. Recognizing personal areas of weakness to grow stronger

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