ATI RN
Concept of Family Health Care Questions
Question 1 of 5
Jack and Ann have come to the clinic for family therapy. They have been married for 18 years. Jack had an affair with his secretary 5 years ago. He fired the secretary and assures Ann and the nurse that he has been faithful ever since. Jack tells the nurse, 'We have never been able to get along with each other. We can’t talk about anything . . . all we do is shout at each other. And every time she gets angry with me, she brings up my infidelity. I can’t even imagine how many times each of us has threatened divorce over the years. Our kids don’t have any idea what it is like to have parents who get along with each other. I’ve really had enough!' The nurse would most likely document which of the following in her assessment of this couple?
Correct Answer: D
Rationale: The correct answer is D: Marital schism. Marital schism refers to a state of constant conflict and disengagement in a marriage. In this scenario, Jack and Ann exhibit a significant disconnect in their relationship, as evidenced by their inability to communicate effectively, frequent shouting matches, and unresolved issues such as Jack's infidelity. The nurse would likely document a marital schism in her assessment due to the ongoing discord and lack of emotional connection between the couple. Incorrect choices: A: Marital skew typically refers to power imbalances in a relationship, which is not the primary issue in this case. B: Pseudohostility involves false or exaggerated hostility, which is not the main concern in Jack and Ann's situation. C: Double-bind communication involves contradictory messages leading to confusion, which is not the central issue in this scenario.
Question 2 of 5
The desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety is:
Correct Answer: C
Rationale: The correct answer is C because it focuses on managing the anxiety at a manageable level, which is a realistic and achievable goal in the short term. This approach acknowledges the individual's current state and aims to provide coping strategies to help them function despite the anxiety. Option A is incorrect as it is unrealistic to expect no anxiety after a traumatic event. Option B is not the immediate priority when the individual is experiencing panic anxiety. Option D is also incorrect as self-acceptance may be a long-term goal but is not the immediate focus in managing panic anxiety.
Question 3 of 5
The nurse contributed to a staff education program about transmission precautions to use when caring for a patient who has AIDS. Which statement by a staff member indicates a correct understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "Wear clean gloves for body fluid contact." This is correct because wearing clean gloves when coming into contact with body fluids is essential to prevent the transmission of infections like AIDS. Sterile gloves are not necessary for routine patient care, and wearing a mask or waterproof gown is not indicated unless there is a specific risk of droplet or airborne transmission. Thus, the staff member demonstrating an understanding of using clean gloves for body fluid contact shows knowledge of proper transmission precautions for caring for a patient with AIDS.
Question 4 of 5
The nurse is preparing to care for a patient who is HIV positive. Which action should the nurse take when following standard precautions for protection from HIV exposure?
Correct Answer: A
Rationale: The correct answer is A: Put on gloves before touching body fluids. This is because wearing gloves is a standard precaution to prevent exposure to HIV through contact with bodily fluids. Gloves create a barrier between the nurse's skin and the patient's fluids, reducing the risk of transmission. Recapitulating needles (B) can increase the risk of needle-stick injuries. Washing own open skin lesions (C) is important for personal hygiene but does not prevent HIV transmission. Removing one finger on a glove (D) compromises the protective barrier and exposes the nurse to potential infection.
Question 5 of 5
The nurse is participating in the planning of care for a patient who has HIV. Which therapeutic action should the nurse recognize as the treatment goal for HIV?
Correct Answer: D
Rationale: The correct answer is D: Keeping the virus from replicating. The primary treatment goal for HIV is to maintain an undetectable viral load by inhibiting viral replication through antiretroviral therapy. This helps to prevent progression to AIDS and reduces the risk of transmission. A: Stimulating the immune system is not the primary goal as HIV specifically targets and weakens the immune system. B: Treating opportunistic infections is important but not the primary goal; it's a consequence of HIV-related immune suppression. C: Killing the virus with medication is not entirely possible due to HIV's ability to integrate into host DNA; the focus is on viral suppression to prevent replication.