A mother presents to the nurse practitioner with her 14-year-old son for a wellness check and a flu shot. The mother inquires about a sign she saw in the waiting room regarding human immunodeficiency virus (HIV) testing. She is surprised that adolescents need to be tested for HIV. The NP’s most appropriate response is:
"He might be sexually active and you aren't aware."
"We would never test an adolescent unless they are sexually active."
"The CDC recommends that everyone between the ages of 13 and 64 get tested for HIV at least once."
"Don't worry, it's just routine."
The Correct Answer is C
Choice A reason: This response could be interpreted as accusatory or judgmental and does not provide educational value.
Choice B reason: Testing recommendations are not solely based on sexual activity; universal testing guidelines exist for adolescents to identify HIV early.
Choice C reason: CDC guidelines recommend routine HIV screening for individuals aged 13–64 at least once, regardless of perceived risk, making this the most accurate and informative response.
Choice D reason: Minimizing the information with a vague reassurance fails to educate the parent and could lead to misunderstanding the purpose of testing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Shenjing Shuairuo is a culture-bound syndrome in Chinese populations characterized by fatigue, somatic complaints, sleep disturbances, and difficulty concentrating in response to stress, which aligns with this patient’s presentation.
Choice B reason: Susto is a Latin American syndrome associated with fright or trauma causing soul loss, often accompanied by somatic symptoms, which is not culturally consistent with this patient.
Choice C reason: Kufungisisa is a Zimbabwean culture-bound syndrome involving excessive thinking leading to somatic complaints, which does not align with the patient’s cultural background.
Choice D reason: Khayal is a Southeast Asian culture-bound syndrome linked to anxiety and somatic symptoms, but it is not typical in Chinese populations.
Correct Answer is C
Explanation
Choice A reason: Fright syndromes typically involve transient anxiety and sadness but do not include the physical manifestations associated with Khayal.
Choice B reason: Weakness of the nervous system, such as neurasthenia, is associated with chronic fatigue and somatic complaints but does not reflect the acute episodic presentation of Khayal.
Choice C reason: Khayal is a Cambodian culture-bound syndrome characterized by a wind attack or sudden anxiety episode with physical symptoms, including tinnitus, palpitations, and neck soreness. It resembles a panic attack culturally contextualized.
Choice D reason: Excessive rumination or “thinking too much” is associated with some African or Caribbean syndromes but does not describe Khayal.
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