Week 3: HIV

Week 3 Live Session: Health Promotion in HIV and wounds

Breanne Wilburn, DNP, RN, CMSRN

Multiple Choice

A patient, in the terminal phase of acquired immunodeficiency syndrome (AIDS), tells the home care nurse, "I brought the disease upon myself. I stopped going to church and speaking with those who previously provided spiritual support." Which spirituality goal would the nurse establish?

• Encourage the patient and family to reconnect with his or her faith.

• Assist the patient in reconciling with his or her God or higher being.

• Facilitate emotional and spiritual acceptance of the finite nature of life.

• Schedule an appointment for the patient with the facility's faith provider.

Multiple Choice

The nurse assesses a patient with recently diagnosed acquired immunodeficiency syndrome (AIDS). When obtaining a health history from the patient, what statement does the nurse determine most correlates with this diagnosis?

• "I am feeling very fatigued in the evenings."

• "I am sleeping six to eight hours per night"

• "I have had a steady weight loss over the past several months."

• "I am experiencing feelings of helplessness and hopelessness."

Multiple Select

When assessing for a patient’s human immunodeficiency virus (HIV) risk, which questions would the nurse ask? Select all that apply.

• "Have you ever had oral thrush?"

• "Have you ever been hospitalized?"

• "Have you ever had a blood transfusion?"

• "Have you ever had unprotected sexual intercourse?"

• "Have you ever had a sexually transmitted infection?"

Open Ended

Which nursing diagnoses might be relevant for Russell and/or John?

Multiple Choice

When planning the care for a patient with human immunodeficiency virus (HIV) infection, which nursing action is helpful in preventing patient complications?

• Encourage the patient to each three high-protein meals each day.

• Educate the patient about the importance of adherence to drug therapy.

• Plan an exercise regimen for the patient to adhere to three times per week.

• Obtain a prescription for the patient to take antibiotics prophylactically to prevent infection.

Multiple Choice

Which statement indicates that the patient, concerned about contracting the human immunodeficiency virus (HIV) infection, understood the teachings about transmission provided by the nurse?

• "I can't contract HIV unless there's an opportunistic infection present."

• "I can't contract HIV unless there's an opportunistic infection present."

• "Using a condom with spermicide will reduce my risk of contracting HIV."

• "Kaposi sarcoma is one of the first opportunistic infections to show up in someone with HIV."