A nurse at a correctional facility is counseling a client who had a positive tuberculin skin test. Which of the following client statements should the nurse identify as understanding of the information?

"The tuberculin skin test might be falsely positive if my immune system is low."

"I will need to take several medications if I have tuberculosis."

"I will need to have a repeat tuberculin skin test in 48 to 72 hours."

"The standard treatment for tuberculosis involves hospitalization until my sputum cultures are negative."

Answer and Explanation

The Correct Answer is B

Choice A reason: A low immune system can cause a false negative, not a false positive. Immunocompromised clients may fail to mount a reaction to the test, leading to inaccurate results.

Choice B reason: Treatment for tuberculosis requires multiple medications (such as isoniazid, rifampin, pyrazinamide, and ethambutol) over several months to prevent resistance and ensure eradication. This statement reflects accurate understanding, making it correct.

Choice C reason: The tuberculin skin test is read once, 48–72 hours after placement. It is not repeated within that timeframe. A repeat test may be done weeks later in certain cases, but not immediately.

Choice D reason: Hospitalization is not standard unless the client has severe disease or cannot adhere to treatment. Most TB treatment is outpatient with strict medication adherence and monitoring.

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Correct Answer is A

Explanation

Choice A reason: Hospice care focuses on improving quality of life through palliative care, emphasizing comfort, dignity, and symptom management rather than curative treatment. This is the central philosophy of hospice.

Choice B reason: Hospice care does not guarantee 24-hour in-home care. Services are provided intermittently, with family and caregivers playing a major role.

Choice C reason: Hospice care is not intended to postpone death. It acknowledges the natural process of dying and provides support during this stage.

Choice D reason: Hospice care coordinates services through the hospice team, not solely through the family. Families are supported, but professional coordination is central.

A. Repression B. Displacement C. Sublimation D. Rationalization

Correct Answer is C

Explanation

Choice A reason: Repression involves unconsciously blocking painful or unacceptable thoughts and feelings from awareness. In this case, the client is not avoiding or forgetting the loss but instead channeling energy into constructive activity. Therefore, repression does not apply.

Choice B reason: Displacement occurs when emotions are redirected from the original source to a safer substitute target. For example, expressing anger at a coworker instead of the true source of frustration. The client is not redirecting emotions but transforming them into positive action, so displacement is not correct.

Choice C reason: Sublimation is the defense mechanism where unacceptable impulses or painful emotions are transformed into socially acceptable and constructive behaviors. By volunteering for Narcotics Anonymous after the partner’s overdose, the client is channeling grief and potential maladaptive impulses into meaningful community service. This is a healthy and adaptive defense mechanism.

Choice D reason: Rationalization involves justifying or explaining away unacceptable feelings or behaviors with logical reasoning. The client is not making excuses or justifications but actively engaging in positive coping. Therefore, rationalization is not the correct mechanism.

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A nurse at a correctional facility is counseling a client who had a positive tuberculin skin test. Which of the following client statements should the nurse identify as understanding of the information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client and their family about home hospice care. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client whose partner recently died from an opioid overdose. The client tells the nurse, "Now, I volunteer for the local chapter of Narcotics Anonymous." The nurse should identify that the client is demonstrating which of the following defense mechanisms?

Correct Answer is C

Explanation

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