Caring For People With Hiv/Aids Ch.31 Complete Test Bank

Test Generator Questions, Chapter 31, Caring for People With HIV/AIDS

Format:  Multiple Choice

Chapter Number:  31

Client Needs:  Physiological Integrity: Basic Care and Comfort

Cognitive Level:  Understand

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  669, Introduction to HIV/AIDS

1. AIDS is a global health crisis because it:

A) is a fatal disease.

B) affects only poor people.

C) continues to spread worldwide.

D) affects every system of the body.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  669, Introduction to HIV/AIDS

2. Who is at highest risk for becoming infected with human immunodeficiency virus (HIV)?

A) A college student having unprotected sex

B) A drug addict who snorts cocaine daily

C) A homosexual person who lives with a partner of 20 years

D) A nursing assistant who works with clients with HIV/AIDS

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1, 3

Page and Header:  670, Attitudes Toward People With HIV/AIDS

3. It is true that people diagnosed with HIV/AIDS:

A) are homosexual.

B) will die of the disease.

C) are to be treated with compassion.

D) generally live in developing countries.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  670, Attitudes Toward People With HIV/AIDS

4. The client confides a diagnosis of AIDs to the nursing assistant. What action should the nursing assistant take?

A) Inform the other nursing assistants that the client has AIDS to protect them.

B) Add this information on the client’s Kardex to inform the health team.

C) Administer compassionate care and not tell others about the client’s HIV/AIDS status.

D) Employ double gloves when taking care of any of the client’s secretions.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

5. A common sign seen in people who are HIV positive is:

A) hair loss.

B) constipation.

C) weight gain.

D) frequent infections.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  670, Attitudes Toward People With HIV/AIDS

6. When caring for a resident diagnosed as being HIV positive, the nursing assistant will show respect for the person’s rights by:

A) touching the person to show caring.

B) spending time talking with the person.

C) encouraging the person to remain independent.

D) discussing the person’s condition with only the nurse.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  671, Caring for a Person With HIV/AIDS

7. When friends and family abandon a person diagnosed as being HIV positive, the person becomes at high risk for:

A) heart problems.

B) sleep problems.

C) clinical depression.

D) dramatic weight gain.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

8. Nursing assistants can best protect themselves from coming into contact with the HIV virus by:

A) having HIV-positive clients wear masks and gloves when receiving care.

B) using standard precautions consistently with every person being cared for.

C) asking all clients being cared for whether they have been tested for the virus.

D) wearing full personal protective equipment when caring for HIV-positive clients.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  671, Caring for a Person With HIV/AIDS

9. People diagnosed with AIDS often become depressed and isolated from feelings of guilt and shame. The nursing assistant can help decrease these feelings by:

A) providing the person with good care.

B) offering to arrange for the facility’s chaplain to visit.

C) demonstrating that time spent with the person is enjoyable.

D) being careful to avoid upsetting the person by talking about the illness.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

10. A client in the advanced stage of AIDS will need the nursing assistant to:

A) provide complete assistance with activities of daily living (ADLs).

B) wear gloves and a mask when providing care.

C) help the client communicate with family and visitors.

D) provide information about the services available through hospice.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  669, Introduction to HIV/AIDS

11. Most HIV-positive people develop acquired immunodeficiency syndrome (AIDS) because:

A) AIDS is the most serious form of HIV.

B) HIV makes the person at high risk for cancer.

C) HIV has destroyed the person’s immune system.

D) AIDS is caused by the same virus that causes HIV.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  669, Introduction to HIV/AIDS

12. People diagnosed with AIDS most commonly die from:

A) an infection.

B) a heart attack.

C) a suicide attempt.

D) acute kidney failure.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

13. A common form of skin cancer associated with advanced HIV infection is:

A) anorexia.

B) dysphagia.

C) pneumonia.

D) Kaposi sarcoma.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

14. A client diagnosed with HIV/AIDS who has sores in the mouth is on the team the nursing assistant is caring for this evening. Which nursing intervention(s) will help promote nutrition for this client? Select all that apply.

A) Using a numbing spray to decrease the pain while eating.

B) Offering nutritional supplements like Ensure between meals.

C) Removing foods that have seeds associated with them like strawberries.

D) Scrubbing the client’s tongue with peroxide using a toothbrush.

E) Asking to replace the client’s hot foods with yogurt combined with fruit.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

15. While cleaning up an incontinent client who has a history of HIV/AIDS, the nursing assistant notices blood in the watery stool. The most appropriate intervention would be to:

A) measure the amount of diarrhea and send a stool specimen to lab.

B) finish cleaning up the client, wash hands, and move on to the next room.

C) report this finding to the nurse in charge.

D) take clients temperature to make sure they don’t have a GI “bug.”

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  671, Caring for a Person With HIV/AIDS

16. The nursing assistant is caring for a client recently diagnosed with AIDS. The client states, “I have no reason to live any longer.” What is the appropriate response for the nursing assistant to make?

A) “There are treatments that make it a chronic disease.”

B) “You have a lot to live for, you have your life partner.”

C) “What do you mean by no reason to live any longer?”

D) “Do you have a plan on how you will kill yourself?”

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

17. The nursing assistant is providing oral care for a resident diagnosed with AIDS and observes that the resident has white patches in the mouth and throat and complains of pain with swallowing. The most appropriate intervention would be to:

A) use a rinse with warm water and a teaspoon of salt.

B) ask if the resident has been taking prescribed medications.

C) report the observations to the nurse in charge.

D) prepare a cold yogurt shake with a drinking straw.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

18. The nursing assistant is caring for a client with HIV/AIDS who has had frequent bouts of pneumonia. What intervention should the nursing assistant take?

A) Ask the client to use alcohol-based hand cleanser after using the bathroom.

B) Establish that the family brought fresh sushi for the client to snack on.

C) Encourage the client to get fresh air in the crowded courtyard.

D) Ask visitors with small children to see the nurse about visitation.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  671, Caring for a Person With HIV/AIDS

19. The nursing assistant is caring for a client diagnosed with HIV/AIDS admitted to the hospital for an infection and placed on a new antibiotic who suddenly develops a nonraised red rash and itching. Which action should the nursing assistant take first?

A) Report the observations immediately to the nurse.

B) Ask if the client has ever had a rash before.

C) Trim the nails and file them to prevent scratching.

D) Choose soapless cleansers when cleaning the skin.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  671, Caring for a Person With HIV/AIDS

20. The nursing assistant is caring for a resident with AIDS who is unsteady while walking in the dining room. What action should the nursing assistant take first?

A) Assist the resident to the nearest chair.

B) Report the observation to the nurse.

C) Provide a nearby walker to use temporarily.

D) Ask the resident if help is needed.