During an assessment, the patient states, 'We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him.' The nurse interprets this as indicating which of the following?

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ATI Active Learning Template Basic Concept Mental Health Questions

Question 1 of 5

During an assessment, the patient states, 'We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him.' The nurse interprets this as indicating which of the following?

Correct Answer: B

Rationale: The correct answer is B: Cultural identity. This is because the patient's statement reflects their sense of belonging and connection to their cultural group through shared values and practices related to family support and respect for elders. Acculturation (A) refers to adapting to a new culture, not necessarily reflecting one's existing cultural identity. Cultural competence (C) involves understanding and respecting different cultures, which is not explicitly demonstrated in the patient's statement. Linguistic competence (D) relates to the ability to communicate effectively in different languages, which is not the focus of the patient's statement.

Question 2 of 5

The nurse is assessing a family system applying the family system framework model. Which assessment would be important for the nurse?

Correct Answer: D

Rationale: Step 1: Interpersonal differentiation is important in family systems as it refers to individual family members' ability to maintain their own identity while remaining connected to the family unit. Step 2: Assessing interpersonal differentiation helps the nurse understand how well family members can balance autonomy and connection within the family. Step 3: This assessment is crucial for identifying healthy functioning within the family system and potential issues related to boundaries, enmeshment, and rule acceptance. Step 4: In contrast, choices A, B, and C focus more on specific aspects of family dynamics, but they do not directly address individual family members' ability to maintain their identity within the system.

Question 3 of 5

A nurse is reviewing the assessment findings of several patients. Which patient would the nurse identify as having a type D personality?

Correct Answer: D

Rationale: Step 1: Identify Type D personality - Type D personality is characterized by negative emotions, social inhibition, and a tendency to suppress emotions. Step 2: Analyze the choices - Option D fits the criteria as the man reacts negatively to almost everything and does not discuss his feelings with anyone, demonstrating social inhibition and negative emotions. Step 3: Eliminate incorrect choices - Option A displays aggression, not social inhibition. Option B shows introverted behavior, not necessarily negative emotions. Option C involves peer pressure and poor decision-making, not social inhibition or negative emotions. Summary: Choice D is correct as it aligns with the characteristics of a Type D personality - negative emotions and social inhibition. Choices A, B, and C do not exhibit these specific traits.

Question 4 of 5

The nurse is caring for a client who has been receiving treatment for schizophrenia with chlorpromazine for the past year. It would be essential for the nurse to monitor the client for which of the following?

Correct Answer: D

Rationale: The correct answer is D: Tardive dyskinesia. Tardive dyskinesia is a potential side effect of long-term antipsychotic use, including chlorpromazine. It is characterized by involuntary repetitive movements, such as lip smacking or tongue protrusion. The nurse should monitor the client for early signs of tardive dyskinesia to prevent irreversible damage. Choices A, B, and C are incorrect: A: Weight loss is not typically associated with chlorpromazine use; in fact, weight gain is more common. B: Torticollis is a condition characterized by a twisted neck, which is not a common side effect of chlorpromazine. C: Hypoglycemia is not a known side effect of chlorpromazine; instead, it is more commonly associated with other medications like insulin or sulfonylureas.

Question 5 of 5

The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because staying with the client and emphasizing safety helps establish trust and security, which are crucial during a panic attack. This intervention provides reassurance and support, reducing the client's anxiety and promoting a sense of safety. A: Demonstrating empathy is important, but trying to mimic the client's anxiety may escalate the situation. B: Leaving the client alone may increase feelings of abandonment and worsen the panic attack. C: Providing false reassurance by stating a positive prognosis may invalidate the client's feelings and minimize the seriousness of their experience. In summary, choice D is the most appropriate as it focuses on providing immediate support and safety to help the client through the panic attack.

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