ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
A client has been voluntarily admitted to a mental health unit for treatment of acute depression. Which client request will the nurse deny based on this type of commitment?
Correct Answer: A
Rationale: The correct answer is A because in a voluntary admission for acute depression, the client retains their basic rights, such as making personal phone calls. However, the nurse may deny the request to have the personal cell phone brought in due to concerns about safety, privacy, and potential access to harmful content. Choice B is incorrect as the client has the right to participate in civic activities like casting a vote. Choice C is incorrect as it involves maintaining personal documentation. Choice D is incorrect as the client has the right to meet with their attorney in a private space.
Question 2 of 5
The nurse is addressing a primary symptom of schizophrenia when:
Correct Answer: B
Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment. A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking. C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia. D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.
Question 3 of 5
Which client has met the criteria for psychiatric homebound care?
Correct Answer: C
Rationale: The correct answer is C because the client meets the criteria for psychiatric homebound care by experiencing severe panic attacks when trying to leave the home. This indicates significant impairment in functioning outside the home. Explanation: 1. Criterion met: The client's severe panic attacks prevent her from leaving the home, indicating a need for care within the home environment. 2. Impairment in functioning: The client's panic attacks significantly impact her ability to engage in daily activities outside the home. 3. Duration of symptoms: The client has experienced these severe panic attacks for the last 5 years, indicating a chronic and persistent condition. Summary of other choices: A: Depression alone does not necessarily warrant psychiatric homebound care. B: Delusions related to paranoid schizophrenia do not inherently restrict the client to homebound care. D: Obsessive-compulsive behaviors, while impactful, do not specifically require homebound care unless they severely impair functioning outside the home.
Question 4 of 5
A client who has been prescribed chronotherapy for disrupted sleep patterns resulting from his chronic depression tells the nurse that he can't afford to stay in the hospital for the treatments since he has to get back to work. The nurse responds that:
Correct Answer: C
Rationale: Rationale for choice C (correct answer): 1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns. 2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible. 3. This empowers the client to continue treatment while balancing work obligations. 4. It ensures continuity of care and adherence to the therapy plan. Summary of other choices: A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days. B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration. D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.
Question 5 of 5
The nurse is engaging in patient- and family-centered care most effectively when:
Correct Answer: A
Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.