Which of the following clients would NOT be an appropriate candidate for the measles, mumps, and rubella (MMR) vaccine?
A female client with HIV who is admitted for Pneumocystis carinii pneumonia
A female client at 12 weeks' gestation
A male client with a history of hypersensitivity reactions to neomycin
A school-age child with HIV
The Correct Answer is B
Choice A reason: Mild to moderate HIV infection does not contraindicate MMR vaccination; however, severe immunosuppression may require deferral.
Choice B reason: MMR is a live attenuated vaccine and is contraindicated in pregnancy due to potential risk to the fetus. Vaccination should be deferred until postpartum.
Choice C reason: History of neomycin allergy may contraindicate MMR, but mild or past reactions may be assessed individually; often, only severe anaphylaxis is an absolute contraindication.
Choice D reason: A school-age child with HIV who is not severely immunocompromised may safely receive the MMR vaccine to prevent infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Affirming involves highlighting the client’s strengths or positive behaviors to build confidence, which is different from evaluating pros and cons.
Choice B reason: Reflective listening involves paraphrasing or reflecting back what the client says to demonstrate understanding, not eliciting cost-benefit analysis.
Choice C reason: This is correct. Decisional balance involves helping the client weigh the benefits and costs of behavior change, which is precisely what the questions in the scenario achieve.
Choice D reason: Summarizing involves restating or consolidating what the client has said to facilitate reflection, not analyzing pros and cons.
Correct Answer is C
Explanation
Choice A reason: Body dysmorphic disorder involves excessive preoccupation and repetitive behaviors regarding perceived defects, which this patient does not exhibit.
Choice B reason: Delusional disorder, somatic type, involves fixed false beliefs about bodily defects, which are not present here.
Choice C reason: Correct. The patient’s concern is typical adolescent interest in appearance and does not impair function or cause distress beyond normal expectations.
Choice D reason: Narcissistic personality disorder involves grandiosity, need for admiration, and lack of empathy, which is not indicated in this scenario.
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