A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false-positive reading?

A client who has undergone radiation therapy within the last 3 years

A client who has received the bacille Calmette-Guerin vaccine within the last 10 years

A client who has acquired immune deficiency syndrome

A client who has lived in a country where tuberculosis is endemic

Answer and Explanation

The Correct Answer is B

A. A client who has undergone radiation therapy within the last 3 years: Radiation therapy may suppress the immune response, potentially leading to a false-negative rather than a false-positive Mantoux test due to reduced ability to mount a reaction.

B. A client who has received the bacille Calmette-Guerin vaccine within the last 10 years: The BCG vaccine can cause a false-positive Mantoux result because the vaccine uses a strain of Mycobacterium bovis, which can trigger a reaction similar to TB exposure in skin testing.

C. A client who has acquired immune deficiency syndrome: Clients with AIDS are immunocompromised, which increases the likelihood of a false-negative Mantoux result, as their immune systems may not respond sufficiently to the test.

D. A client who has lived in a country where tuberculosis is endemic: This client is at higher risk for true TB exposure, and a positive result is more likely to reflect actual infection rather than a false-positive reaction.

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Correct Answer is A

Explanation

A. Developing an escape plan: Ensuring the client's immediate safety is the top priority in cases of partner violence. Creating a personalized and practical escape plan can help the client prepare for a quick exit during a dangerous situation, potentially preventing serious harm or fatality.

B. Using stress management techniques: While managing stress is important for mental health, it does not directly address the urgent physical safety needs of someone in an abusive situation. It is better suited for long-term recovery rather than immediate intervention.

C. Identifying a primary support person: Having emotional and logistical support is helpful, but it is a secondary step after ensuring safety. In some cases, reaching out to others without a plan may even increase risk if not done cautiously.

D. Providing referrals for legal counseling: Legal support is essential in the long term to address restraining orders, custody, or separation, but it should follow immediate safety planning. Legal action without safety precautions could escalate the abuse.

A. Nurse 1 B. Nurse 2 C. Nurse 3 D. Nurse 4 E. Nurse 5

Correct Answer is ["C","E"]

Explanation

• Nurse 1: Arranging meetings and establishing screening tools are activities related to the planning and implementation phases rather than evaluation, focusing on preparing and initiating the program.
• Nurse 2: Explaining informed consent and meeting with clients to explain services are part of the implementation phase, ensuring clients understand and receive services.
• Nurse 3: Examining emergency department visit frequency after program implementation reflects evaluation by assessing outcomes and the program’s impact on client health and service utilization.
• Nurse 4: Meeting with mental health providers and sending contracts relate to planning and implementation phases, focusing on resource coordination and service agreements.
• Nurse 5: Reviewing satisfaction surveys after caregiver meetings involves evaluation, as it collects and analyzes feedback to measure program effectiveness and identify areas for improvement.

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A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false-positive reading?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community health center is counseling a group of clients who are currently experiencing partner violence. Which of the following strategies is the priority for the nurse to include in the counseling?

Correct Answer is A

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Correct Answer is ["C","E"]

Explanation

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