ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
Identify and define the five stages of change addressed in motivational interviewing.
Correct Answer: A
Rationale: The correct answer is A: Precontemplation: denial of problem; goal is to create awareness of the problem. In motivational interviewing, the first stage is Precontemplation, where the individual is unaware or in denial of the problem. The goal is to help them recognize the issue and increase awareness. Choice B (Contemplation) is incorrect because it comes after Precontemplation and involves recognizing the need to change, not denial. Choice C (Determination) is incorrect as it follows Contemplation and involves planning and committing to action. Choice D (Action) is incorrect as it is the stage where the individual applies the change, which comes after Determination.
Question 2 of 5
Which class of medications increases the availability of serotonin by blocking the reuptake of serotonin at the presynaptic membrane?
Correct Answer: A
Rationale: The correct answer is A: Selective serotonin reuptake inhibitors (SSRIs). SSRIs block the reuptake of serotonin at the presynaptic membrane, leading to increased availability of serotonin in the synaptic cleft. This helps alleviate symptoms of depression and anxiety. Choice B, Polyuria, is a symptom related to excessive urination and is not a class of medication. Choice C, Carbamazepine, is an anticonvulsant and mood stabilizer that works by different mechanisms, not by increasing serotonin availability. Choice D, Lithium, is also a mood stabilizer primarily used in bipolar disorder and does not directly increase serotonin levels.
Question 3 of 5
Which serious side effect of Elavil requires immediate intervention? A. Orthostatic hypotension B. Urinary retention C. ECG changes D. Sedation
Correct Answer: B
Rationale: The correct answer is B: Urinary retention. Elavil, a tricyclic antidepressant, can cause anticholinergic effects leading to urinary retention, which can be a serious side effect requiring immediate intervention to prevent complications like urinary retention, necessitating prompt medical attention to prevent potential complications such as bladder distention or urinary retention-induced kidney damage. A: Orthostatic hypotension - While Elavil can cause orthostatic hypotension, it is not typically considered a serious side effect that requires immediate intervention. C: ECG changes - Elavil can cause ECG changes, but they may not always necessitate immediate intervention. D: Sedation - Sedation is a common side effect of Elavil but is not typically considered a serious side effect requiring immediate intervention.
Question 4 of 5
When administering medications, a nurse would hold which medication for a patient who presents with jaundice? A. Valium B. Divalproex (Depakote) C. Lithium D. Verapamil
Correct Answer: B
Rationale: The correct answer is B: Divalproex (Depakote). Jaundice is a condition characterized by yellowing of the skin and eyes due to liver dysfunction. Divalproex is metabolized in the liver, and in patients with jaundice, liver function may be compromised, leading to potential toxicity. Therefore, holding Divalproex for a patient with jaundice is essential to prevent further liver damage. A: Valium is primarily metabolized in the liver, but it is generally safe to use in patients with mild to moderate liver impairment. C: Lithium is primarily cleared through the kidneys, so liver dysfunction would not directly impact its clearance. D: Verapamil is also primarily metabolized in the liver, but it is not contraindicated in patients with jaundice unless there is severe liver impairment.
Question 5 of 5
Mr Tan has been visiting the casino on weekends with his friends for the past 6 months, and would stay through the night on Saturdays. He recently returned at dawn in drunken stupor. His wife Mrs Tan relates this problem to you saying that she tries to stop him but he refused. He says he only gambles a fixed amount each session. He works as a technician and does not have problems at work, he says he likes gambling including buying 4D, but has no debt. He spends less and less time with the family and Mrs Tan is very worried. Mr Tan is likely to have problems associated with
Correct Answer: B
Rationale: The correct answer is B) At risk gambling. Mr. Tan's behavior of visiting the casino frequently, staying out all night, and returning in a drunken state indicate that he is engaging in risky gambling behavior. Despite claiming to gamble a fixed amount and not having debt, his prioritization of gambling over spending time with his family is concerning. At-risk gambling refers to behaviors that may lead to problems in the future, even if there are no significant negative consequences currently. Option A) Social gambling typically involves occasional, low-risk gambling within social settings, which does not align with Mr. Tan's behavior. Option C) Problem gambling involves difficulties in controlling gambling behavior and may lead to negative consequences in various areas of life. While Mr. Tan is displaying some concerning behaviors, he has not yet reached the level of severe consequences associated with problem gambling. Option D) Pathological gambling, also known as compulsive gambling, is characterized by an inability to resist impulses to gamble and can lead to severe financial, emotional, and social consequences. Mr. Tan's behavior does not indicate a compulsive pattern at this stage. In an educational context, understanding the spectrum of gambling behaviors is crucial for healthcare professionals, social workers, and educators to identify individuals at risk and provide appropriate support and interventions. Recognizing the signs of at-risk gambling early can help prevent the escalation of problems associated with gambling addiction. It is essential to approach individuals like Mr. Tan with empathy, understanding, and resources to address their gambling behavior before it becomes detrimental to their well-being and relationships.