ATI RN
Patient Family Centered Care Nursing Questions
Question 1 of 5
Metabolic syndrome includes low HDL-C and elevated blood pressure defined in men by which of the following?
Correct Answer: B
Rationale: Metabolic syndrome is a cluster of conditions that occur together, increasing the risk of heart disease, stroke, and type 2 diabetes. One of the defining criteria for metabolic syndrome in men is low HDL-C (High-Density Lipoprotein Cholesterol) and elevated blood pressure. In this case, the correct answer is B) HDL-C <40 mg/dL and blood pressure ≥130/85 mm Hg. The correct answer is right because low HDL-C levels (<40 mg/dL) are a key component of metabolic syndrome. HDL-C is known as "good cholesterol" because it helps remove other forms of cholesterol from your bloodstream. Low levels of HDL-C are associated with an increased risk of heart disease. Additionally, elevated blood pressure (≥130/85 mm Hg) is another important criterion for metabolic syndrome. High blood pressure, or hypertension, is a significant risk factor for cardiovascular diseases. Looking at the other options: A) HDL-C <50 mg/dL and blood pressure ≥120/75 mm Hg - This option does not meet the criteria for defining metabolic syndrome in men. C) HDL-C <35 mg/dL and blood pressure ≥135/85 mm Hg - The HDL-C level is too low compared to the correct answer, and the blood pressure threshold is lower. D) HDL-C <30 mg/dL and blood pressure ≥140/90 mm Hg - Both HDL-C and blood pressure levels are more extreme than what is typically used to define metabolic syndrome in men. Understanding the criteria for metabolic syndrome is crucial for nurses providing patient-centered care. By recognizing these risk factors, nurses can educate patients, implement preventive measures, and collaborate with healthcare providers to manage and improve patient outcomes related to metabolic syndrome.
Question 2 of 5
Which of the following approaches would be most effective in treating patients who have been unsuccessful at losing weight?
Correct Answer: A
Rationale: In the context of patient family-centered care nursing, the most effective approach to treating patients who have been unsuccessful at losing weight is motivational interviewing (Option A). Motivational interviewing is a patient-centered counseling approach that helps individuals explore and resolve ambivalence towards behavior change. This approach empowers patients to identify their own motivations for change, set achievable goals, and develop a plan for success. The teach back approach (Option B) is valuable for assessing patient understanding and ensuring effective communication, but it may not address the underlying motivational factors contributing to weight loss challenges. Referring patients to a dietitian (Option C) is important for providing specialized nutritional guidance, but without addressing motivation and behavior change, the effectiveness may be limited. Recommending self-help books (Option D) may provide information, but it lacks the personalized support and guidance that motivational interviewing can offer. In an educational context, understanding the principles and techniques of motivational interviewing is crucial for nurses working with patients struggling with weight management. By mastering this approach, nurses can effectively support patients in overcoming barriers, increasing motivation, and achieving sustainable lifestyle changes for improved health outcomes.
Question 3 of 5
A person whose spouse died two years earlier tells friends, I think I'll start going out socially, maybe even take someone to dinner. This comment best demonstrates that the individual is:
Correct Answer: B
Rationale: Toward the end of the grief process, the person renews his or her interest in people and activities. This behavior indicates resolution. At the same time, the person is released from the relationship with the deceased. The patient has progressed beyond grief. The patient is seeking to move into new relationships so that he or she is not alone.
Question 4 of 5
A nurse manager notices that a staff member spends minimal time with a patient diagnosed with AIDS who is terminally ill. The patient says, Im having intense emotional reactions to this illness. Sometimes I feel angry, but other times I feel afraid or abandoned. The nurse manager can correctly hypothesize that the most likely reason for the staff members avoidance is:
Correct Answer: B
Rationale: In this scenario, option B, "feelings of inadequacy in dealing with complex emotional needs," is the correct answer. The nurse manager can correctly hypothesize that the staff member is avoiding the patient due to their own feelings of inadequacy in addressing the emotional needs of a terminally ill patient with AIDS. This avoidance may stem from a lack of training or experience in providing psychosocial support or counseling to patients facing complex emotional challenges, such as fear, anger, and feelings of abandonment. Option A, "fear of infection transmission," is incorrect because with proper universal precautions and knowledge of infection control measures, healthcare providers should not fear transmission of HIV from a patient. Avoiding a patient based on this fear reflects a lack of understanding of how HIV is transmitted. Option C, "knowledge that the patient needs time alone with family and friends," is incorrect in this context because the patient explicitly expressed their need for emotional support and connection with healthcare providers. Avoiding the patient does not align with the patient-centered care approach, which emphasizes the importance of addressing patients' emotional and psychosocial needs. Option D, "belief that the patient's former lifestyle included high-risk behaviors," is also incorrect as it is a judgmental assumption that is not relevant to providing compassionate care to a patient with AIDS. It reflects biases and stereotypes about individuals living with HIV/AIDS and is not a valid reason for avoiding providing care and emotional support to the patient. In an educational context, this scenario highlights the importance of healthcare providers recognizing and addressing their own limitations, biases, and emotional responses when caring for patients with complex needs. It underscores the need for ongoing education and training in patient-centered care, communication skills, and psychosocial support to ensure that healthcare providers can effectively meet the holistic needs of patients facing serious illnesses like AIDS.
Question 5 of 5
An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returned wearing dark glasses. Facial and body bruises were apparent. What is occupational health nurses priority assessment?
Correct Answer: D
Rationale: In this scenario, the correct priority assessment for the occupational health nurse is option D) Physical injuries. The nurse's primary concern should be the well-being and safety of the adult who is showing signs of physical harm. This is essential to ensure the individual's health and safety are not compromised. Option A) Interpersonal relationships, while important, is a secondary concern in this case as the immediate focus should be on assessing and addressing the physical injuries. Option B) Work responsibilities and option C) Socialization skills are also secondary in this context as the presence of physical injuries and potential signs of abuse take precedence over assessing the individual's work performance or socialization skills. In an educational context, it is crucial for nurses to prioritize the assessment of physical injuries in cases where there are visible signs of harm or abuse. This ensures that the individual receives the necessary care and support while addressing any potential safety concerns that may be present in the workplace or personal life. A thorough understanding of prioritization in nursing assessments is essential for providing effective and timely care to individuals in need.