ATI RN
Concept of Family Health Nursing Care Questions
Question 1 of 5
Psychologicalization of illness' is best defined by which of following statements?
Correct Answer: D
Rationale: The correct answer is D) Overemphasis on psychological factors without just evidence. In family health nursing care, it is crucial to understand the concept of psychologicalization of illness. This phenomenon occurs when there is an excessive focus on psychological factors in relation to illness without sufficient evidence or justification. It is important to recognize that while psychological factors can play a role in illness, an overemphasis on these factors can lead to misdiagnosis, inappropriate treatment, and neglect of underlying physical issues. Option A, redefining illness as an intangible process, does not capture the essence of psychologicalization of illness. While psychological aspects can be intangible, the key point here is the emphasis being placed on them disproportionately. Option B, examining the effects of physical illness on a patient's mental capacity, is related to understanding the psychological impact of physical illness, but it does not address the concept of psychologicalization specifically. Option C, the stress response to acute illness, is a valid consideration in family health nursing care but does not directly relate to the concept of psychologicalization of illness. Educationally, it is important for nurses to be aware of the potential pitfalls of psychologicalization of illness to ensure holistic and evidence-based care for patients. By understanding this concept, nurses can avoid tunnel vision on psychological factors and instead consider all aspects of a patient's health in a balanced manner.
Question 2 of 5
Which of the following is common among indigent, rural Appalachian patients?
Correct Answer: A
Rationale: In the context of family health nursing care, understanding the unique characteristics and needs of different populations is crucial. Among indigent, rural Appalachian patients, option A) Perceived socioeconomic discrimination is common. This population often faces social, economic, and healthcare disparities, leading to a sense of discrimination, which can impact their health-seeking behaviors and outcomes. Addressing this issue is essential in providing holistic and culturally sensitive care. Option B) Lack of knowledge about preventive health care is a common challenge across various populations, but in the case of rural Appalachian patients, the impact of socioeconomic factors often outweighs the lack of knowledge. Therefore, while education is important, addressing underlying social determinants is crucial. Option C) Sexually transmitted infections may not be more common among rural Appalachian patients compared to other populations, as it is influenced by various factors beyond geographical location. Option D) Willingness to adhere to prescribed medications can vary among individuals and is not necessarily a defining characteristic of rural Appalachian patients. Socioeconomic factors, access to healthcare, and cultural beliefs play a more significant role in medication adherence in this population. Educationally, this question highlights the importance of understanding the social determinants of health and how they influence health outcomes. It emphasizes the need for healthcare providers, especially family nurses, to be culturally competent and sensitive to the unique needs of different patient populations to provide effective and patient-centered care.
Question 3 of 5
Which finding indicates the successful completion of an individuals grieving process?
Correct Answer: B
Rationale: The correct answer is option B) After 15 months, a widowed person realistically remembers both the pleasures and disappointments of the relationship with the spouse. This option indicates successful completion of the grieving process because it reflects a balanced and integrated view of the past relationship. The individual is able to recall both positive and negative aspects of the relationship, showing acceptance and adaptation to the loss. Option A is incorrect because keeping the deceased spouse's belongings for two years in their usual places may indicate difficulty letting go and moving on, rather than successful completion of the grieving process. Option C is incorrect as talking about the deceased spouse as if they were still alive and weeping when their name is mentioned after three years suggests unresolved grief and difficulty in accepting the reality of the loss. Option D is incorrect because the statement "I never cry or have feelings of loss even though we were always very close" after eighteen months indicates emotional suppression and denial, which are not indicative of a healthy grieving process. Educationally, understanding the stages of grief and recognizing healthy coping mechanisms is crucial for healthcare professionals, especially in family health nursing care. Recognizing signs of unresolved grief can help in providing appropriate support and interventions to individuals experiencing loss. It is essential to promote healthy grieving processes to facilitate emotional healing and adjustment.
Question 4 of 5
An 11-year-old reluctantly tells the nurse, My parents dont like me. They said they wish I was never born. Which type of abuse is likely?
Correct Answer: C
Rationale: In this scenario, the likely type of abuse being experienced by the 11-year-old is emotional abuse, as indicated by the statement "My parents don't like me. They said they wish I was never born." Emotional abuse involves behaviors that harm an individual's self-worth or emotional well-being. In this case, the child is being subjected to harmful words and actions that can have a lasting impact on their mental health. Physical abuse (option B) involves causing physical harm or injury to a person, which is not evident in the given scenario. Sexual abuse (option A) involves inappropriate sexual behavior, which is also not indicated in the child's statement. Economic abuse (option D) involves controlling a person's financial resources, which is not relevant to the situation described. In an educational context, it is crucial for healthcare professionals, especially nurses, to be able to recognize signs of different forms of abuse, including emotional abuse. By identifying and addressing such issues promptly, nurses can help protect and support individuals, particularly vulnerable populations like children. Educating healthcare providers about various forms of abuse and their manifestations is essential for ensuring the well-being of patients and providing appropriate interventions and support.
Question 5 of 5
An older woman diagnosed with Alzheimers disease lives with family and attends day care. After observing poor hygiene, the nurse talked with the caregiver. This caregiver became defensive and said, It takes all my energy to care for my mother. Shes awake all night. I never get any sleep. Which nursing intervention has priority?
Correct Answer: B
Rationale: The patients caregivers were coping with care until the patient began to stay awake at night. The family needs assistance with evening and night care to resume their pre-crisis state of functioning. Secondary prevention calls for the nurse to mobilize community resources to relieve overwhelming stress. The other interventions may then be accomplished.