ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
Amanda’s mobile home was destroyed by a tornado. Amanda received only minor injuries, but is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called:
Correct Answer: A
Rationale: The correct answer is A: Crisis resulting from traumatic stress. This is because Amanda's anxiety is a direct result of the traumatic event of her mobile home being destroyed by a tornado. Traumatic stress can lead to emotional and psychological distress, such as anxiety, following a life-threatening or traumatic event. Choices B, C, and D are incorrect: B: Maturational/developmental crisis refers to crises that arise from normal life transitions or developmental stages. Amanda's situation is not a result of a typical life transition. C: Dispositional crisis is a result of pre-existing personality characteristics or coping strategies. Amanda’s crisis is not due to her inherent disposition. D: Crisis of anticipated life transitions involves stress related to expected life changes. Amanda's situation was unexpected due to the tornado and not a planned life transition.
Question 2 of 5
A patient with HIV asks the nurse if thinking about dying frequently is common with HIV. What is an appropriate response by the nurse?
Correct Answer: C
Rationale: Rationale for Correct Answer C: 1. HIV is now considered a chronic disease with treatment, meaning many individuals can live long and healthy lives with proper medical care. 2. By informing the patient that HIV is a chronic disease, the nurse can provide reassurance and hope. 3. Acknowledging the patient's concerns while highlighting the positive advancements in HIV care can help alleviate anxiety and provide comfort. Summary of Incorrect Choices: A: This answer instills fear without providing accurate information about the current state of HIV treatment. B: This answer dismisses the patient's concerns and does not offer any constructive information or support. D: This answer is misleading as HIV mortality rates have significantly decreased with advancements in treatment, and planning for death should not be the primary focus for individuals living with HIV.
Question 3 of 5
A patient who has AIDS expresses concern about telling others about the illness. Which response would be appropriate by the nurse?
Correct Answer: B
Rationale: The correct answer is B: "You should tell those who have a reason to know." This response is appropriate as it respects the patient's autonomy and privacy. By sharing the diagnosis with only those who need to know, the patient can control who has access to this sensitive information. This approach also promotes trust and open communication within the patient's support network. Option A is incorrect as it disregards the patient's right to privacy and may cause unnecessary stress. Option C is incorrect as it assumes the diagnosis will inevitably become public, which may not be the case if the patient chooses to keep it private. Option D is incorrect as it oversimplifies the situation and may not consider the patient's unique circumstances and preferences.
Question 4 of 5
The nurse is reviewing laboratory results for a patient who has HIV. Which result would be strongly suggestive of a diagnosis of AIDS?
Correct Answer: A
Rationale: The correct answer is A because a CD4+ count of 180/μL is significantly below the normal range (500-1500/μL) and indicative of severe immunosuppression, which is a hallmark of AIDS. CD4+ percentage alone (choice B) may not provide the full picture. CD8+ count (choice C) doesn't directly indicate immune system status in HIV/AIDS. The CD4+/CD8+ ratio (choice D) may be altered in various conditions, not specific to AIDS.
Question 5 of 5
A patient with AIDS-related wasting syndrome is very weak, lies listlessly in bed, has an intravenous (IV) drip, and receives antiretroviral medications via injection. What should be the priority nursing diagnosis for this patient?
Correct Answer: D
Rationale: The correct answer is D: Risk for Infection due to weak immune system and parenteral therapy. This is the priority nursing diagnosis because a patient with AIDS-related wasting syndrome is at high risk for infections due to their weak immune system and parenteral therapy, which can introduce pathogens into the body. Addressing the risk for infection is crucial in preventing further complications and promoting the patient's overall well-being. Choice A (Pain related to immobility) is not the priority as the patient's immobility is not the immediate concern compared to the risk of infection. Choice B (Ineffective Individual Coping due to terminal stage of HIV) may be a valid concern, but ensuring the patient's physical health and preventing infections take precedence. Choice C (Risk for Injury due to impaired mobility, weakness, and weight loss) is important but does not address the immediate threat of infection that the patient faces.