ATI RN
Concept of Family Health Nursing Care Questions
Question 1 of 5
During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, 'After discharge, I’m sure everything will be just fine.' Which remark by the nurse will be most helpful to the spouse?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the spouse's optimism while also gently highlighting the potential challenges that may arise during the recovery process. By pointing out that new problems may emerge as the patient adjusts to a life without alcohol, the nurse prepares the spouse for potential difficulties and encourages realistic expectations. Choice A is incorrect because it only acknowledges the spouse's support without addressing the potential challenges ahead. Choice C is incorrect because it focuses solely on stress avoidance rather than preparing for the overall adjustment process. Choice D is incorrect because it emphasizes monitoring the patient's behavior rather than addressing the spouse's outlook and potential struggles.
Question 2 of 5
Which nursing diagnosis would likely apply to both patients with paranoid schizophrenia and patients with amphetamine-induced psychosis?
Correct Answer: B
Rationale: The correct answer is B: Disturbed thought processes. Both patients with paranoid schizophrenia and amphetamine-induced psychosis commonly experience altered thinking patterns, hallucinations, and delusions. This nursing diagnosis addresses the cognitive disruptions present in both conditions. Incorrect choices: A: Powerlessness - This diagnosis refers to a lack of control over one's life situation, which may not be a primary concern for these patients. C: Ineffective thermoregulation - This diagnosis relates to the body's ability to maintain temperature, which is not typically affected in these conditions. D: Impaired oral mucous membrane - This diagnosis is related to issues with the mouth's lining and is not typically associated with paranoid schizophrenia or amphetamine-induced psychosis.
Question 3 of 5
A nurse is called to the home of a neighbor and finds an unconscious person still holding a medication bottle labeled pentobarbital sodium. What is the nurse’s first action?
Correct Answer: D
Rationale: The correct answer is D: Establish a patent airway. The first action in any emergency situation involving an unconscious person is to ensure their airway is open and clear to facilitate breathing. This is crucial for maintaining oxygenation and preventing potential complications like hypoxia. Testing reflexes (A) and checking pupils (B) are important assessments but not the immediate priority in this situation. Initiating vomiting (C) is contraindicated as it can lead to further complications, especially if the person has ingested a potentially harmful substance.
Question 4 of 5
Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will
Correct Answer: B
Rationale: The correct answer is B because stating 'I see the need for ongoing treatment' demonstrates insight and willingness to engage in further treatment, indicating a readiness for change. This is crucial for someone who has completed multiple detox programs in a short period. Choice A (using rationalization in healthy ways) may not address the underlying issues leading to repeated detox programs. Choice C (identifying constructive outlets for expression of anger) is important but not the most urgent concern after detox. Choice D (developing a trusting relationship with one staff member) is beneficial but does not address the need for ongoing treatment.
Question 5 of 5
A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because rehearsing techniques to handle stressful situations is a crucial aspect of substance abuse relapse prevention. By practicing coping strategies, the patient can effectively navigate triggers and prevent relapse. Choices B, C, and D are incorrect: B: Advising residential treatment is not a proactive relapse prevention strategy and does not empower the patient to manage triggers independently. C: Identifying life skills is important, but alone it may not directly address relapse prevention techniques. D: Isolating from support systems contradicts the importance of social support in recovery and may lead to feelings of loneliness and vulnerability, increasing the risk of relapse.