ATI RN
Core Concepts of Patient Family Care Questions
Question 1 of 5
It has been estimated that 20%, or 45 million, adults ages 18 or older in the United States have experienced a mental illness in the past year. Which nursing intervention is directed toward addressing the greatest barrier to successful treatment outcomes for these individuals?
Correct Answer: A
Rationale: The correct answer is A: Educating clients as to the importance of completing their treatment recommendations. This intervention is crucial because lack of understanding about the importance of completing treatment can lead to non-compliance, which is a significant barrier to successful treatment outcomes. By educating clients, nurses can empower them to take ownership of their health and adhere to their treatment plans. Choice B is incorrect because while identifying resources for medications is important, it may not address the underlying issue of non-compliance. Choice C, involving the client in planning care, is important but may not directly address non-compliance. Choice D, evaluating compliance frequently, is necessary but does not address the root cause of non-compliance. Therefore, the most effective intervention is to educate clients about the importance of completing their treatment recommendations.
Question 2 of 5
Which statement by the nurse will have the greatest impact on medication adherence for a client diagnosed with depression?
Correct Answer: C
Rationale: The correct answer is C because it emphasizes a positive outcome that is personally meaningful to the client - enjoying time with grandchildren. This statement motivates the client by linking medication adherence to a specific benefit that holds significance for them. Option A involves a conditional offer which may not address the client's underlying motivation. Option B focuses on general improvement without personalizing it, and Option D oversimplifies the complexity of depression recovery. In summary, Option C is the most effective as it connects medication adherence to a specific and meaningful goal for the client.
Question 3 of 5
The forensic psychiatric nurse oftentimes has conflicting goals when providing psychiatric care while serving the legal system. Which situation best demonstrates this conflict?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the conflict between providing psychiatric care and serving the legal system. In this scenario, the nurse must assess a patient with paranoid schizophrenia who committed a violent act due to delusions. The nurse needs to balance the patient's mental health needs with addressing the legal implications of the violent behavior. Choice B involves caring for a rape victim and preserving evidence, which aligns with both nursing and legal responsibilities. Choice C focuses on providing therapy to offenders, which does not inherently present a conflict between psychiatric care and legal duties. Choice D involves conducting a depression screening for a prisoner, which is important for mental health care but does not inherently involve a conflict with legal obligations.
Question 4 of 5
There appears to be a power struggle among the members of an outpatient therapeutic support group. Which event that occurred during a session demonstrates a need for the leader to intervene?
Correct Answer: A
Rationale: The correct answer is A. In this scenario, consistent debates hindering decision-making indicate a power struggle. The leader should intervene to facilitate productive discussions and maintain group cohesion. Choice B demonstrates individual frustration, not a group dynamic issue. Choice C shows members monopolizing, but not necessarily a power struggle. Choice D reflects a disagreement, but not a power struggle within the group. Therefore, Choice A is the most critical issue requiring intervention.
Question 5 of 5
A family has presented at a community mental health clinic. The mother reports that the children ages 8 and 10 are 'not doing well since their father died three months ago.' The nurse demonstrates an understanding of the goals of a family mental health assessment when initially:
Correct Answer: D
Rationale: The correct answer is D because arranging for the family members to attend age-appropriate grief management groups aligns with the goal of assessing and addressing the family's mental health needs following a significant loss. This approach recognizes the impact of the father's death on the children and the mother, providing them with support and coping strategies. It acknowledges the importance of addressing grief and promoting healthy coping mechanisms within the family unit. Choices A, B, and C are incorrect because they do not directly address the family's mental health needs in the context of grief and loss. Assessing the mother's ability to provide physical care, encouraging discussions with teachers, and observing interactions are important but do not specifically target the emotional and psychological impact of the father's death on the family.