ATI RN
Core Concepts of Family Centered Care Questions
Question 1 of 5
A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
Correct Answer: D
Rationale: Step-by-step rationale for Answer D (Correct): 1. Safety first: Intoxicated patients can be a safety risk to themselves and others. 2. Ethical responsibility: Providing care to an intoxicated patient may compromise the quality of care. 3. Setting boundaries: Communicating that the appointment cannot proceed due to intoxication sets a clear boundary. 4. Referral assistance: The patient can be directed to appropriate resources for help with substance abuse. Summary of why other choices are incorrect: A (explore reasons): Not appropriate when patient is intoxicated. B (inpatient unit): Premature without assessing the situation. C (detox unit): Immediate detox may not be necessary.
Question 2 of 5
A patient has smoked two packs of cigarettes daily for many years. When the patient does not smoke or tries to cut back, anxiety, craving, poor concentration, and headache result. What does this scenario describe?
Correct Answer: C
Rationale: The correct answer is C: Substance dependence. This scenario describes a pattern of symptoms indicative of substance dependence, which includes tolerance, withdrawal symptoms when trying to cut back, unsuccessful attempts to quit, and continued use despite negative consequences. The patient's reliance on cigarettes to manage anxiety, craving, poor concentration, and headache indicates a psychological and physical dependence on nicotine. A: Substance abuse typically involves harmful use of a substance but does not necessarily include physiological dependence. B: Substance intoxication refers to the immediate effects of a substance in the body, not the long-term pattern of dependence. D: Recreational use of a social drug implies occasional and non-regular use, which does not align with the described scenario of chronic, daily smoking leading to withdrawal symptoms.
Question 3 of 5
When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:
Correct Answer: D
Rationale: The correct answer is D: anterograde amnesia. Flunitrazepam is a benzodiazepine known for causing memory loss, specifically anterograde amnesia, where the person has difficulty forming new memories after ingestion. This is due to the drug's effects on the hippocampus and frontal cortex. Acrophobia (fear of heights), hypothermia, and hallucinations are not typically associated with flunitrazepam ingestion. Therefore, D is the expected outcome when assessing a patient who has ingested flunitrazepam.
Question 4 of 5
Which documentation indicates that the treatment plan for a patient in an alcohol rehabilitation program was effective?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates a positive change in behavior and mindset. The patient has been abstinent for 10 days, shows commitment to sobriety, and has a supportive employer. This indicates progress and readiness to reintegrate into work. Choice B shows longer abstinence but still relies on external factors for control. Choice C focuses on helping others rather than personal progress. Choice D mentions limitations on alcohol consumption, which may not reflect true recovery.
Question 5 of 5
The nurse best engages in self-analysis that will benefit a specific nurse-client relationship when:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates reflective practice by focusing on self-awareness and identifying potential barriers to effective care. This approach allows the nurse to address personal biases, limitations, and areas for growth, leading to improved nurse-client relationships. Choice A is incorrect as it suggests suppressing negative feelings, which may hinder self-awareness and authenticity in the relationship. Choice C is incorrect as it avoids self-analysis and seeks external solutions, which may not address the root of the issue. Choice D is incorrect as it prioritizes avoiding conflict over establishing healthy boundaries, which is essential for therapeutic relationships.