ATI RN
Concept of Family Health Nursing Care Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The family of a patient with AIDS has been instructed on patient manifestations to report to the health care provider (HCP). Which manifestation should be reported indicating that teaching has been effective?
Correct Answer: C
Rationale: The correct answer is C: Night sweats. Night sweats are a common symptom of advanced HIV/AIDS, indicating a weakened immune system. Reporting this symptom is crucial for monitoring disease progression and adjusting treatment. Fever (A) is common in many conditions, dry mouth (B) is not specific to AIDS, and constipation (D) is not a typical manifestation of AIDS. Reporting night sweats shows understanding of the disease process and the importance of monitoring symptoms in AIDS patients.
Question 5 of 5
A health care worker is exposed to blood from a patient who has HIV. What action should the worker take after the exposure?
Correct Answer: B
Rationale: The correct answer is B: Cleanse the site with soap and water. This is because soap and water effectively clean and disinfect the wound, reducing the risk of infection. Alcohol may not be as effective in removing bloodborne pathogens like HIV. Flushing with hot water can cause tissue damage and is not recommended. Applying a topical antibiotic is not necessary for blood exposure and may not prevent HIV transmission. Proper cleansing with soap and water is crucial to minimize the risk of infection following exposure to bloodborne pathogens like HIV.