A client was clearly very relieved when an HIV test came back negative. "Thank goodness. I've had sex several times without a condom, and when one of my friends said he was sick, I think I panicked." Which of the following would be most important to emphasize to the client immediately?
Abstinence is the only way to be certain you are HIV free.
The test would not cover any recent infection, so if the client has had recent unprotected sex, the test should be repeated in 3 months.
The test could be wrong and the client might still have an HIV infection.
Sex should be restricted to one partner.
The Correct Answer is B
A. Abstinence is the only way to be certain you are HIV free: While abstinence eliminates the risk, it is not the only preventive measure. Safer sex practices, such as condom use and PrEP (pre-exposure prophylaxis), can significantly reduce the risk of HIV.
B. The test would not cover any recent infection, so if the client has had recent unprotected sex, the test should be repeated in 3 months. HIV has a "window period" during which recent infections may not yet be detectable. Retesting in 3 months ensures accuracy and proper diagnosis.
C. The test could be wrong and the client might still have an HIV infection: Modern HIV tests are highly accurate, but recent infections may not be detected. Instead of causing unnecessary distress, the focus should be on retesting after the window period.
D. Sex should be restricted to one partner: Monogamy does not guarantee HIV prevention unless both partners are tested and remain faithful. The emphasis should be on safe sex practices.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Study the beliefs and traditions of persons living in other cultures: While learning about other cultures is important, it should follow self-reflection to prevent ethnocentric judgments.
B. Complete a survey of all the various ethnicities represented in the nurse's community: This provides demographic knowledge but does not help the nurse develop personal cultural competence.
C. Consider how the nurse's own personal beliefs and decisions are reflective of his or her culture. Cultural competence begins with self-awareness. Nurses must first recognize how their own cultural background, beliefs, and biases influence their interactions with patients before effectively understanding and respecting others' cultures.
D. Invite a family from another culture to join the nurse for an event: While engaging with diverse groups is beneficial, it is not the first step in cultural competence.
Correct Answer is B
Explanation
A. The incidence of asthma among children has been decreasing: The incidence of childhood asthma has been increasing due to rising air pollution, allergens, and environmental triggers.
B. Children are more susceptible to environmental toxins because of their smaller size: Due to their lower body weight, developing organs, and higher metabolic rate, children absorb toxins more readily and are more vulnerable to harmful effects.
C. Children are more susceptible to cancer if they have a family history of the disease: While family history plays a role, environmental exposures (e.g., radiation, chemicals) also contribute significantly to childhood cancer risk.
D. The prevalence of autism is directly related to the increase in environmental toxins: While research is ongoing, no definitive causal link has been established between environmental toxins and autism. Autism is influenced by multiple genetic and environmental factors.
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