ATI RN
Concept of Family Health Nursing Care Questions
Question 1 of 5
In order to best evaluate the achievement of goals of individual stress management group members, the nurse leading the group:
Correct Answer: C
Rationale: The correct answer is C because using a Likert scale to periodically ask group members to rate their ability to manage stress with the techniques learned provides quantitative data for evaluating progress. This method allows for tracking changes over time and identifying trends in stress management improvement. A is incorrect because it relies on subjective self-reporting at the last meeting only, which may not capture ongoing progress. B is incorrect as it focuses on individual demonstrations at each session, which may not reflect overall stress management improvement. D is incorrect as it relies on group evaluation at the final session, which may not provide consistent and individualized feedback throughout the program.
Question 2 of 5
A client's history documents that there have been examples of indirect self-destructive behavior. Which nursing assessment data supports this diagnosis?
Correct Answer: B
Rationale: The correct answer is B because reports of abusing alcohol since the age of 16 indicate a pattern of indirect self-destructive behavior. This behavior can lead to physical harm and other negative consequences. Option A directly mentions suicide attempts, not indirect behavior. Option C is unrelated to self-destructive behavior. Option D, while acknowledging suicidal thoughts, does not demonstrate a pattern of indirect self-destructive behavior like long-term alcohol abuse.
Question 3 of 5
During an initial assessment interview, the client reports using an herbal product to help manage his depression after his recent heart attack. The nurse demonstrates an understanding of the greatest risk of injury these circumstances pose to the client when asking:
Correct Answer: B
Rationale: Rationale for Correct Answer (B): - The correct answer is B because the greatest risk of injury in this scenario is potential bleeding complications due to the use of herbal products. - Herbal products can interact with medications, including anticoagulants, increasing the risk of bleeding. - Asking about difficulty stopping bleeding helps assess for potential adverse effects of the herbal product on clotting factors. - This question directly addresses a specific risk associated with herbal product use in the context of a recent heart attack. Summary of Incorrect Choices: - Choice A is incorrect because while quality control issues may be a concern with herbal products, it is not the most immediate risk in this case. - Choice C is incorrect as it focuses on the source of the recommendation rather than the client's health risks. - Choice D is incorrect as it does not address the potential physical harm related to herbal product use after a heart attack.
Question 4 of 5
What type of therapy is 'person-centered' and utilizes a method of communication rather than a set of techniques?
Correct Answer: A
Rationale: The correct answer is A: Motivational interviewing. This therapy aligns with the person-centered approach by focusing on empathetic listening, understanding the client's perspective, and fostering self-motivation for change. It emphasizes a collaborative and non-confrontational communication style, allowing clients to explore and resolve ambivalence towards behavior change. The other choices (B: CBT, C: Narrative Therapy, D: Existential Therapy) involve structured techniques and interventions rather than solely relying on communication to facilitate change.
Question 5 of 5
What should be considered when assessing the effectiveness of the dosage of Valium a patient has been receiving for six months?
Correct Answer: A
Rationale: The correct answer is A: Potential for tolerance/dependence exists - doses may need to be increased. When assessing the effectiveness of Valium dosage, it's crucial to consider tolerance and dependence because long-term use can lead to reduced efficacy, necessitating dose adjustments. This is important for ensuring the patient receives the optimal therapeutic benefit. Gastrointestinal disturbances (B) and sexual dysfunction (C) are potential side effects of Valium but are not directly related to assessing dosage effectiveness. Selective serotonin reuptake inhibitors (D) are a different class of medications and not relevant to evaluating Valium dosage.