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HESI LPN · HESI LPN Mental Health Nursing · HESI Concept of Family Health Care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Jack and Ann have come to the clinic for family therapy. They have been married for 18 years. Jack had an affair with his secretary 5 years ago. He fired the secretary and assures Ann and the nurse that he has been faithful ever since. Jack tells the nurse, 'We have never been able to get along with each other. We can’t talk about anything . . . all we do is shout at each other. And every time she gets angry with me, she brings up my infidelity. I can’t even imagine how many times each of us has threatened divorce over the years. Our kids don’t have any idea what it is like to have parents who get along with each other. I’ve really had enough!' The nurse would most likely document which of the following in her assessment of this couple?

A. Marital skew
B. Pseudohostility
C. Double-bind communication
D. Marital schism

Expert Explanatory Rationale

Correct Answer: Marital schism

Question 2 of 5

The desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety is:

A. The individual will experience no anxiety.
B. The individual will demonstrate hope for the future.
C. The individual will maintain anxiety at manageable level.
D. The individual will verbalize acceptance of self as worthy.

Expert Explanatory Rationale

Correct Answer: The individual will maintain anxiety at manageable level.

Question 3 of 5

The nurse is preparing to care for a patient who is HIV positive. Which action should the nurse take when following standard precautions for protection from HIV exposure?

A. Put on gloves before touching body fluids.
B. Recap intramuscular needles after injection.
C. Wash own open skin lesion after providing care.
D. Remove one finger on a glove during venipuncture.

Expert Explanatory Rationale

Correct Answer: Put on gloves before touching body fluids.

Question 4 of 5

The nurse is caring for a patient who has AIDS. For which opportunistic lung infection caused by a fungus should the nurse monitor in this patient?

A. Tuberculosis
B. Cytomegalovirus
C. Candida albicans
D. Pneumocystis jiroveci pneumonia

Expert Explanatory Rationale

Correct Answer: Pneumocystis jiroveci pneumonia

Question 5 of 5

A patient with AIDS is planning a trip to Mexico. What teaching should the nurse provide to this patient to prevent the development of an opportunistic infection? (Select all that apply.)

A. Use beach towels.
B. Do not walk barefoot.
C. Do not eat raw fruits or vegetables.
D. Clean bathroom supplies with bleach.

Expert Explanatory Rationale

Correct Answer: Use beach towels.

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