ATI RN
Core Concepts of Family Centered Care Questions
Question 1 of 5
Mr. and Mrs. Jones have been married for 21 years. Mr. Jones is the family breadwinner, and Mrs. Jones has never worked outside the home. Mr. Jones has always made all the decisions for the family and Mrs. Jones has always been compliant. According to the strategic model of family therapy, this is an example of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Marital skew. In the strategic model of family therapy, marital skew refers to an imbalance of power and decision-making within a relationship where one partner dominates and the other complies. In this scenario, Mr. Jones making all decisions and Mrs. Jones being compliant indicates an unequal power dynamic, leading to marital skew. A: Marital schism typically involves extreme emotional distance and lack of communication, which is not evident in the given scenario. B: Pseudomutuality involves an appearance of harmony but lacks true emotional connection, which does not align with the power dynamics described. D: Pseudohostility refers to a facade of conflict to avoid deeper issues, which is not reflective of the submissive-dominant dynamic presented.
Question 2 of 5
The most appropriate nursing intervention with Marie (from question 9) would be to:
Correct Answer: D
Rationale: The correct answer is D because Marie is experiencing empty nest syndrome, a common emotional response when children leave home. Grief work helps her process and cope with the loss, while recognizing self-worth beyond motherhood promotes self-identity. Referring her to a physician (A) may not address her emotional needs. Seeking outside employment (B) may not address her emotional concerns. Identifying support systems (C) is helpful but doesn't directly address her need for grief work and self-worth recognition.
Question 3 of 5
The nurse is caring for a patient with HIV. For which common opportunistic infection should the nurse observe when caring for this patient?
Correct Answer: C
Rationale: The correct answer is C: Candida albicans. Patients with HIV are at risk for opportunistic infections due to their weakened immune system. Candida albicans is a common fungal infection seen in HIV patients due to their compromised immunity. It can manifest as oral thrush, esophageal candidiasis, or vaginal yeast infections. Observing for signs of Candida albicans is essential for early detection and treatment. Incorrect choices: A: Toxoplasmosis - While Toxoplasmosis is another opportunistic infection seen in HIV patients, it is more commonly associated with neurological manifestations such as encephalitis. B: Cryptococcosis - Cryptococcosis is a fungal infection caused by Cryptococcus neoformans, commonly affecting the lungs and central nervous system in HIV patients. D: Cryptosporidiosis - Cryptosporidiosis is a parasitic infection that primarily affects the gastrointestinal tract and is commonly seen in HIV patients with severe
Question 4 of 5
The nurse is providing care to a patient who has had diagnostic testing for HIV. Which test should the nurse review to monitor the response to antiretroviral therapy?
Correct Answer: B
Rationale: The correct answer is B: Viral load testing. This test measures the amount of HIV RNA in the blood, reflecting the effectiveness of antiretroviral therapy in suppressing viral replication. Monitoring viral load helps assess treatment response and determine if adjustments are needed. A: Western blot is used for confirming HIV infection, not for monitoring treatment response. C: P24 antigen testing detects a protein associated with HIV infection but is not as sensitive as viral load testing for monitoring therapy. D: Enzyme-linked immunosorbent assay (ELISA) is used for initial HIV screening, not for monitoring treatment response.
Question 5 of 5
A patient asks, 'What is the main purpose of these medications I take for my HIV?' Which response should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because antiretroviral medications used for HIV treatment work by inhibiting enzymes essential for viral replication, thus interfering with viral production. This prevents the virus from multiplying and spreading in the body. Option A is incorrect as medications do not encapsulate virus-infected cells. Option B is incorrect as the medications do not mark the virus for natural killer cells. Option C is incorrect as medications do not attract macrophages to the cells.