ATI RN
Core Concepts of Patient Family Care Questions
Question 1 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 2 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.
Question 3 of 5
The nurse demonstrates appropriate Asian-American cultural sensitivity when:
Correct Answer: A
Rationale: The correct answer is A because using the term 'sadness' instead of 'depression' shows cultural sensitivity. In many Asian cultures, mental health terms like 'depression' can carry stigma and be taboo. By using a milder term like 'sadness,' the nurse acknowledges and respects the cultural nuances around mental health. This approach can help build trust and rapport with the Asian-American community. Choices B, C, and D are incorrect because they do not directly address cultural sensitivity in the same way as choice A. Anticipating an Asian-American teenager's education level or focusing on an older person's views on alcohol and evaluating cognitive abilities do not demonstrate the same level of cultural sensitivity as being mindful of the language used when discussing mental health.
Question 4 of 5
The focus of generic crisis intervention is to:
Correct Answer: B
Rationale: The correct answer is B because generic crisis intervention aims to assist as many individuals in crisis as quickly as possible to minimize harm and provide immediate support. This approach focuses on rapidly addressing the crisis and ensuring the safety and well-being of those involved. Introducing the nurse as a caring resource (A) may be part of the intervention process, but it is not the primary focus. Removing the individual from immediate sources of stress (C) may be necessary in some situations but is not always feasible or effective as the first step. Serving as a liaison between the individual and needed services (D) is important, but it is not the primary goal of generic crisis intervention, which prioritizes immediate assistance and support.
Question 5 of 5
The nurse demonstrates an understanding of effective data collection when interviewing a client regarding a family history when:
Correct Answer: B
Rationale: The correct answer is B because constructing a genogram is an effective way to visually represent a client's family history, including relationships and health conditions. Genograms provide a comprehensive overview of family dynamics and can aid in identifying patterns of health issues. This method allows for organized documentation of information gathered, enhancing data accuracy and analysis. Choice A is incorrect as there is no universally accepted definition of family, which can vary culturally and individually. Choice C is incorrect as the Family Apgar tool assesses family functioning, not specific family structures. Choice D is incorrect because gathering information on at least four generations may not always be necessary or feasible, and the depth of information is more important than the number of generations.