ATI RN
Concept of Family Health Care Questions
Question 1 of 5
A patient admitted to 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 several drinks during the evening.' Which defense mechanism is evident?
Correct Answer: D
Rationale: The correct answer is D: Denial. The patient's statement reflects denial as they are minimizing their alcohol consumption by categorizing it as normal social drinking. Denial is a defense mechanism where a person refuses to acknowledge a reality or truth to protect themselves from anxiety or discomfort. In this scenario, the patient is not accepting the reality of their excessive drinking habits. Explanation for other choices: A: Rationalization - This defense mechanism involves justifying behavior with logical reasoning. The patient is not providing logical reasoning for their drinking habits. B: Introjection - This defense mechanism involves internalizing external beliefs or values. The patient's statement does not indicate internalizing external beliefs. C: Projection - This defense mechanism involves attributing one's unacceptable thoughts or emotions to others. The patient is not projecting their drinking habits onto others.
Question 2 of 5
A nurse with a history of narcotic dependence is found unconscious in the hospital locker room after overdosing. The nurse is transferred to the inpatient chemical dependence unit for care. Which attitudes or behaviors by nursing staff may be enabling?
Correct Answer: A
Rationale: The correct answer is A because conveying understanding that pressures associated with nursing practice underlie substance use may enable the nurse's behavior by justifying or excusing the substance dependence. This attitude may inadvertently support the nurse's addiction by overlooking the need for accountability and treatment. Choices B, C, and D are incorrect because: B: Pointing out that work problems are the result, but not the cause, of substance dependence does not enable the behavior. It acknowledges the issue without excusing or enabling it. C: Conveying empathy when the nurse discusses fears of disciplinary action by the state board of nursing is not enabling behavior. It shows support and understanding without condoning the substance misuse. D: Providing health teaching about stress management is not enabling behavior. It focuses on addressing the underlying issues rather than enabling or excusing the substance dependence.
Question 3 of 5
Which assessment findings will the nurse expect in an individual who has just injected heroin?
Correct Answer: D
Rationale: The correct answer is D: Drowsiness, constricted pupils, slurred speech. After injecting heroin, the individual experiences a rapid onset of effects due to the drug's ability to quickly cross the blood-brain barrier. The central nervous system is depressed, leading to drowsiness and sedation. Heroin causes constriction of the pupils (miosis) due to its effect on the autonomic nervous system. The individual may also exhibit slurred speech due to the drug's impact on cognitive and motor functions. Incorrect Choices: A: Anxiety, restlessness, paranoid delusions - These symptoms are more commonly associated with stimulant drugs like cocaine or amphetamines. B: Heightened sexuality, insomnia, euphoria - These effects are more commonly seen with stimulant drugs rather than heroin. C: Muscle aching, dilated pupils, tachycardia - Muscle aching and tachycardia are signs of opioid withdrawal rather than immediate effects of heroin use. Dil
Question 4 of 5
A patient is admitted in a comatose state after ingesting 30 capsules of pentobarbital sodium. A friend of the patient says, 'Often my friend drinks, along with taking more of the drug than is ordered.' What is the effect of the use of alcohol with this drug?
Correct Answer: C
Rationale: The correct answer is C: A synergistic effect occurs. When alcohol is consumed with pentobarbital sodium, both substances depress the central nervous system. This results in an enhanced sedative effect, leading to respiratory depression, coma, and potentially death. The combined effect of the two substances is greater than the sum of their individual effects. Choices A and B are incorrect as alcohol does not stimulate the metabolism of pentobarbital sodium nor diminish its effect. Choice D is also incorrect as there is a significant effect when alcohol is combined with this drug.
Question 5 of 5
Which assessment findings support a nurse’s suspicion that a patient has been using inhalants?
Correct Answer: D
Rationale: The correct answer is D because confusion, mouth ulcers, and ataxia are common assessment findings in individuals who have been using inhalants. Confusion and ataxia are neurological symptoms associated with inhalant use, while mouth ulcers can result from the toxic effects of inhalants on oral mucosa. These findings indicate central nervous system depression and potential damage from inhalant exposure. Choices A, B, and C are incorrect because they do not align with typical assessment findings of inhalant use. Perforated nasal septum and hypertension (A) are more commonly associated with chronic cocaine use. Drowsiness, euphoria, and constipation (B) are symptoms of opioid use. Pinpoint pupils and respiratory rate of 12 breaths per minute (C) are indicative of opioid overdose, not inhalant use.