ATI RN
Core Concepts of Patient Family Care Questions
Question 1 of 5
A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking. Step 2: Option D reflects the patient's drinking pattern accurately and objectively. Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking. Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly. Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection. Summary: - Option A is passive and does not challenge the patient's perception. - Option B is confrontational and may lead to defensiveness. - Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.
Question 2 of 5
Which treatment approach is most appropriate for a patient with antisocial tendencies who has been treated several times for substance addiction but has relapsed?
Correct Answer: D
Rationale: The correct answer is D: Residential program. This option is most appropriate because a residential program provides a highly structured environment with 24/7 support and supervision, which is crucial for individuals with antisocial tendencies and a history of relapse. This intensive setting helps address the complex needs of the patient, including addiction and behavioral issues. On the other hand, A (One-week detox program) is too short and does not address the underlying issues. B (Long-term outpatient therapy) may not provide sufficient support and monitoring for someone with a high risk of relapse. C (Twelve-step self-help program) can be beneficial but may not offer the level of supervision and intensive treatment needed for this patient.
Question 3 of 5
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
Correct Answer: C
Rationale: Rationale: - Choice C is correct as the patient is exhibiting symptoms of heroin withdrawal, including runny nose, yawning, insomnia, and chills. - Choice A is incorrect because it describes symptoms of central nervous system depressants, not heroin withdrawal. - Choice B is incorrect as it describes symptoms of hallucinogens, not heroin withdrawal. - Choice D is incorrect as it describes symptoms of stimulants, not heroin withdrawal.
Question 4 of 5
Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
Correct Answer: D
Rationale: Rationale: Naltrexone (Revia) is the correct answer because it is commonly prescribed for both alcoholism and opioid addiction. It works by blocking the effects of opioids and alcohol in the brain, reducing cravings and helping with relapse prevention. Methadone (A) is primarily used for opioid addiction, while bromocriptine (B) is not commonly used for addiction treatment. Disulfiram (C) is specifically for alcoholism and works by causing unpleasant effects if alcohol is consumed.
Question 5 of 5
A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse) therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? Select all that apply.
Correct Answer: B
Rationale: Step 1: Disulfiram causes a severe adverse reaction when combined with alcohol. Step 2: Liquid medications may contain alcohol, causing a disulfiram-alcohol reaction. Step 3: Reading labels of all liquid medications helps the patient avoid alcohol-containing products. Step 4: A, C, and D are incorrect as they are not directly related to disulfiram therapy or alcohol avoidance.