ATI RN
Concept of Family Health Nursing Care Questions
Question 1 of 5
Carol, a nurse in a family medicine outpatient clinic, conducts initial interviews when new families are referred. She has just finished interviewing a mother who has come to the clinic with her three children, ages 5, 7, and 11. The mother says to the oldest child, 'You have been such a help to me, playing with your brothers while I talk to the nurse.' In assessing family interaction, the nurse recognizes this statement as a direct indicator of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Self-concept reinforcement. The mother's statement to the oldest child acknowledges and reinforces the child's positive behavior of helping with siblings, which can contribute to enhancing the child's self-concept. This type of positive reinforcement can boost the child's self-esteem and self-worth. It also indicates that the mother values and appreciates the child's role in the family dynamic, which can have a positive impact on the child's self-perception and confidence. A: Family climate - While the mother's statement may reflect a positive family climate, the focus is more on individual behavior and self-concept reinforcement. B: Family members’ expectations - The statement does not directly relate to expectations but rather acknowledges the child's helpful behavior. C: Handling differences - The statement does not pertain to resolving conflicts or differences within the family but rather highlights positive behavior.
Question 2 of 5
Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger’s first time away from home. She has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. This type of crisis is called:
Correct Answer: D
Rationale: The correct answer is D: Maturational/developmental crisis. This type of crisis occurs during life transitions or developmental stages, such as leaving home for the first time to attend college. Ginger's anxiety attacks are likely due to the stress and adjustment challenges associated with this significant life change. She is experiencing difficulties in decision-making and seeking constant reassurance from her mother, which are common behaviors during maturational crises. Explanation: 1. A: Crisis resulting from traumatic stress does not apply as Ginger's anxiety is not triggered by a specific traumatic event. 2. B: Dispositional crisis is not the correct choice as this crisis is not related to her inherent personality traits but rather to the developmental stage she is going through. 3. C: Psychiatric emergency does not fit as Ginger's situation does not present an immediate threat to her safety or require urgent psychiatric intervention. In summary, the correct choice is D as Ginger's symptoms align with a maturational/developmental crisis associated
Question 3 of 5
Intervention with Andrew (from question 12) would include:
Correct Answer: D
Rationale: The correct answer is D because a comprehensive intervention for Andrew should include all options. Encouraging expression of feelings helps him process emotions. Antianxiety medications can address his symptoms. Participation in a support group offers additional emotional support and coping strategies. Each option plays a crucial role in Andrew's holistic care, addressing his emotional, physical, and social needs. A combination of these interventions provides a well-rounded approach to support Andrew's mental health and well-being.
Question 4 of 5
The nurse is monitoring a patient with AIDS. Which manifestation should the nurse expect to observe in this patient?
Correct Answer: A
Rationale: The correct answer is A: Diarrhea. Patients with AIDS commonly experience diarrhea due to opportunistic infections or medications. This can lead to dehydration and malnutrition. Choice B is incorrect because chest pain is not a typical manifestation of AIDS. Choice C is incorrect as hypertension is not a common symptom of AIDS. Choice D is incorrect as pustular skin lesions are not typically associated with AIDS. Monitoring for diarrhea is crucial to prevent complications in AIDS patients.
Question 5 of 5
The nurse is contributing to a teaching plan. What should the nurse emphasize as being the most effective method known to control the spread of HIV infection?
Correct Answer: D
Rationale: The correct answer is D: Education about preventive behaviors. This is the most effective method to control the spread of HIV infection because it empowers individuals with knowledge on how to prevent transmission through safe practices such as condom use and avoiding sharing needles. Premarital serological screening (A) may only identify HIV infection in one partner and does not address prevention. Prophylactic exposure treatment (B) is a form of post-exposure prophylaxis, not a primary prevention method. HIV screening for pregnant women (C) is important for preventing mother-to-child transmission but does not directly control the spread among the general population.