question stucked in mind, need answer

  1. hi,
    if somebody wish to help me

    Q1
    what is the social determinant of hiv?
    1 pcp (phneumocystic carni)
    2 mode of transmmission
    3 gender

    Q2
    if a patient is hallucinating and says he hear some voices coming out of the wall, what is the right answer interms of

    1 eastablishing nurse-client relationship

    2 the most therapeutic answer

    options are

    1 egnore the pt.
    2 i donot hear any voice
    3 tell me more about the voices
    4 its because you are hallucinating.

    thanks.
    Last edit by gagandeep on May 20, '04 : Reason: need to add more
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  2. 9 Comments

  3. by   purplemania
    Q1: I would say mode of transmission because exposure is often due to being "social"

    Q2: I would tell the patient I don't hear the voices in order to acknowledge their comment and to help them become oriented to reality.

    Let me know if I am wrong.
  4. by   rachelaleanRN2B
    Quote from purplemania
    Q1: I would say mode of transmission because exposure is often due to being "social"

    Q2: I would tell the patient I don't hear the voices in order to acknowledge their comment and to help them become oriented to reality.

    Let me know if I am wrong.

    I agree, I would have picked the same answers. Were these on your NCLEX?
  5. by   starcandy
    Q1:I really do not understand the question, but I would eliminate pcp. "Social determinant" would be IV drug abusers, homosexuality and hemophiliacs I would chose "gender".

    Q2: I would say to tell more about the voices to determine if the patient was hearing "command" messages.
  6. by   Ortho_RN
    Well..

    Q1... I would probably choose gender...

    Q2... Honestly I would say its a combo of 2 or 3... Because I know you don't deny the voices they are hearing... So I would say... I don't hear the voices, but what are they saying... So having to choose one answer I would choose 3
  7. by   Katnip
    Q1 I'd say mode of transmission-social isn't just limited to gender.

    Q2-Tell me more about the voices. That's more therapeutic because you're assessing more about what the patient seems to be hearing. Heck, he could be hearing the TV in the next room, or hearing voices from space. THEN you could either wait until the patient asks if you hear the voices, or later tell them you don't hear them.
  8. by   TinyNurse
    i say 2 for the first
    and 3 for the last
    xoxo Jen
  9. by   gagandeep
    hello everyone,
    i appreciate your enthusiasm to provide me insight about questions with enormous solutions to chosse most suitable one's, thankyou all.

    i guess nobody will mind jogging up our mind :

    q1 a 6 week old infant was brought to the clinic. the nurse noticed that husband was the one taking care of the infant, answering all questions and the wife was sitting in the chair, head downward, looking on the floor. what should the nurse assess?
    1 psychosis
    2 depression
    3 stress
    4 schizophrenia

    can we chosse answer psychosis without the mention of the word postpartum, or simply chosse depression as the manifestations reveal.
    Last edit by gagandeep on May 20, '04
  10. by   purplemania
    I bet this question came from the incidents in which mothers murdered their children then claimed they were "depressed" or "hearing voices". In reality, the nurse cannot assess for a medical diagnosis, but can document obj/sub findings and encourage father of child to get mother to proper care. Being a pedi nurse I would probably alert Child Protective Services in order to protect child.
  11. by   gagandeep
    Quote from purplemania
    I bet this question came from the incidents in which mothers murdered their children then claimed they were "depressed" or "hearing voices". In reality, the nurse cannot assess for a medical diagnosis, but can document obj/sub findings and encourage father of child to get mother to proper care. Being a pedi nurse I would probably alert Child Protective Services in order to protect child.
    HI,
    i didnot picked up the question from any senario and probably didnot got the back of this question.as i am taking classes for the prepration of rn exam and my teacher gave me this question.as from books i read about the postpartum psychosis (the case senario also favours me) but the teacher said no the symptoms are like the depression.My heart want to go with teachers' answer but my brain is not agrre------ing. :uhoh21: confussed thus want your help.

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