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19)A young man with newly-diagnosed human immunodeficiency virus (HIV) asks the nurse if he is ready for hospice care. How should the nurse respond?"Hospice care is intended for people who will die in a few weeks or months."Hospice care is a special service for clients and families when life expectancy is just afew weeks or months. According to HIV.gov, HIV+ people who do not receive antiretroviral therapy (ART) can progress to AIDS in about three years. With ART, clients with HIV can live for decades without progressing to AIDS.20)On the fifth day postpartum, a woman calls her healthcare provider and reports pronounced fatigue, sadness and tearfulness. She states, "I feel so overwhelmed, I don't know what to do!" Which of the following questions is most appropriate for the healthcare provider to ask?"Do you ever think about harming yourself or your baby?"Feelings of fatigue, sadness, and tearfulness can be common symptoms experienced in the postpartum period. Both postpartum blues and postpartum depression share similar symptoms, including sadness, crying spells, mood swings, irritability, and insomnia. However, patients who are diagnosed with postpartum depression may experience more severe symptoms, including thoughts of harming themselves or theinfant.21)The healthcare provider is caring for a patient diagnosed with a mild cognitive impairment. Which of these would be the most effective intervention for this patient?Frequent reorientationFrequent reorientation is the most effective intervention for a patient diagnosed with mild cognitive impairment. Behavior modification is an intervention aimed at changing undesirable behaviors. Restraints can increase agitation and should not be used unless absolutely necessary and only when certain criteria are met.22)When planning care for a patient diagnosed with Alzheimer disease (AD), which of these interventions is most therapeutic?Encouraging both verbal and nonverbal communicationAs the ability to communicate verbally declines, nonverbal communication may become more prominent. Encouraging both can facilitate communication and decrease frustration. Speaking clearly and calmly is effective, but increasing the
volume of the voice is not effective and can increase the patient's anxiety. Giving several directions at a time is useless and frustrating for the patient.23) When a client diagnosed with bipolar disorder returns from a church service and tells the nurse, "God has chosen me for a special mission," the nurse understands that the client is displaying symptoms ofIdeas of referenceAn idea of reference is the client's belief that everything that happens is somehow related to the client's destiny. In this example, the client interprets that the church sermon, along with all the songs and bulletins, are messages from God, intended only for the client. Ideas of reference are related to schizophrenia, delusional disorder, and the manic state of bipolar disorder.