ATI RN
Core Concepts of Family Centered Care Questions
Question 1 of 5
A home visiting psychiatric program focuses on pregnant women who have been diagnosed with depression. The success of the intervention is best demonstrated by a client's:
Correct Answer: D
Rationale: The correct answer is D because regular attendance at birthing preparation classes directly reflects engagement with the psychiatric program designed for pregnant women with depression. Attending these classes demonstrates the client's commitment to seeking support and education for her mental health and pregnancy. It also indicates active participation in a structured intervention aimed at improving overall well-being. Choices A, B, and C are incorrect because they do not directly measure the success of the psychiatric program in addressing the client's depression during pregnancy. Choice A focuses on physical health, choice B reflects emotional sentiment, and choice C pertains to medication adherence, which are important but not direct indicators of the intervention's success in treating depression during pregnancy.
Question 2 of 5
The nurse is managing the care of an older adult who has recently immigrated to the United States from an Asian country. The client is depressed and is neither sleeping nor eating well. In order to best facilitate the client's care in a culturally competent manner, the nurse:
Correct Answer: C
Rationale: Rationale: 1. Choice C is correct as it involves discussing interventions with the family, respecting the client's cultural norms and involving them in the care plan. 2. Choice A assumes family involvement without assessing the client's preferences or cultural beliefs, potentially imposing Western values. 3. Choice B focuses solely on individual assessment without considering the importance of family dynamics in the client's culture. 4. Choice D addresses dietary concerns but overlooks the holistic approach of involving the family in the care plan.
Question 3 of 5
An Asian-American client has been prescribed an antidepressant medication for severe depression. When the nurse prepares discharge teaching topics for this client, which specific information will be included?
Correct Answer: C
Rationale: Step 1: Correct Answer (C) - Some racial and ethnic groups are genetically predisposed to enzyme deficiencies that require medications at lower dosages. Step 2: Explanation - Certain racial and ethnic groups may have genetic variations that affect how they metabolize medications, leading to enzyme deficiencies. This can result in the need for lower dosages to avoid adverse effects. Step 3: Incorrect Choices: A: Incorrect - Stereotyping the Asian culture as resistant to antidepressants is not evidence-based. Compliance is important for all patients regardless of culture. B: Incorrect - Absorption issues related to specific ethnic foods are not a generalized concern for all Asian-Americans taking antidepressants. D: Incorrect - While it is true that antidepressants may take weeks to reach therapeutic levels, the question is asking about specific considerations for an Asian-American client, not a general fact about medication effectiveness.
Question 4 of 5
The nurse is concerned that a depressed client may be displaying a nonverbal suicidal threat when he presents another client with his favorite shirt as a 'gift.' The nurse's initial intervention is to:
Correct Answer: B
Rationale: The correct answer is B because asking the client directly about suicidal ideations with a plan to hurt himself is the most immediate and appropriate intervention to assess the client's safety. This approach allows the nurse to directly address the potential risk of suicide and initiate appropriate interventions if necessary. Placing the client on suicide precautions (choice A) without assessing the client's thoughts may be premature and intrusive. Supporting the client about the shirt (choice C) does not address the underlying concern of suicidal behavior. Simply documenting the behavior (choice D) without taking immediate action to assess and address the risk is insufficient in ensuring the client's safety.
Question 5 of 5
When asked if complementary and alternative medicine (CAM) therapies have value as nursing interventions for mentally ill individuals the nurse replies:
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions. 2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals. 3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan. 4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients. 5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health. Summary: Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.