HESI LPN · HESI LPN Mental Health Nursing · HESI Concept of Family Health Care
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
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?
Expert Explanatory Rationale
Correct Answer: Marital schism
The desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety is:
Expert Explanatory Rationale
Correct Answer: The individual will maintain anxiety at manageable level.
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?
Expert Explanatory Rationale
Correct Answer: Put on gloves before touching body fluids.
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?
Expert Explanatory Rationale
Correct Answer: Pneumocystis jiroveci pneumonia
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.)
Expert Explanatory Rationale
Correct Answer: Use beach towels.
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