Please Read the Clinical Scenario, and Then Answer the Question

question 42

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
JV is a 16-year-old male with cystic fibrosis. He has been admitted several times to your pulmonary inpatient unit with multiple microorganism infections, including Pseudomonas and H. influenza. Because of the thickness of his mucous secretions, his cilia become immobile and unable to clear his lungs of bacteria harboring mucus. He is supposed to perform vigorous airway mucous clearance at home with a vibrating vest and IPV (intrapulmonary percussive ventilation) device. However, he says that it takes hours and he does not always feel sick. Therefore, he often refuses to do his therapies at home.
-JV asks you,as his bedside nurse,to explain to him why he keeps getting sick from the same bacteria.What is an appropriate response?

• A)"Your lungs produce these organisms because your cilia are permanently damaged."
• B)"Your mucus traps and harbors the microorganisms,and when they can't get cleared,they begin to breach your second and third lines of defense."
• C)"Your disease stunts your immunity,so you can't actually fight those bacteria."
• D)"You don't have second and third line defenses."

---

Definitions:

Maturity Principle

The concept that individuals become more conscientious and agreeable as they age, showing fewer negative or antisocial behaviors.

Self-Serving Bias

The common human tendency to attribute personal successes to internal factors while blaming failures on external factors.

Narcissism

A psychological condition characterized by self-centeredness, a lack of empathy for others, and an excessive need for admiration.

Agreeableness

Agreeableness is a personality trait characterized by warmth, kindness, and a tendency to cooperate and seek social harmony.