ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
The control group and the experimental group in an experiment are treated exactly the same except for the:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse-therapist is counseling the Smith family: Mr. and Mrs. Smith, 10-year-old Rob, and 8-year-old Lisa. When Mr. and Mrs. Smith start to argue, Rob hits Lisa and Lisa starts to cry. The Smiths then turn their attention to comforting Lisa and scolding Rob, complaining that he is 'out of control and we don’t know what to do about his behavior.' These dynamics are an example of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Triangulation. Triangulation occurs when a third party (in this case, the children) is brought into a conflict between two other parties (Mr. and Mrs. Smith). In this situation, the parents' argument has led to the children being drawn into the conflict, with Rob hitting Lisa. The parents then focus on the children, shifting attention away from their own issues. This behavior creates a dysfunctional dynamic within the family. A: Double-bind messages refer to contradictory communication that causes confusion and emotional distress. This is not evident in the given scenario. C: Pseudohostility involves expressing anger indirectly. While there may be some hostility in the family dynamics, it is not the primary issue at play. D: Multigenerational transmission relates to the passing down of behaviors and beliefs through generations, which is not explicitly demonstrated in this scenario.
Question 3 of 5
The nurse psychotherapist is working with the Jones family in the outpatient mental health clinic. The husband says, 'We can’t agree on anything! And it seems like every time we disagree on something it ends up in a screaming match.' Which of the following prescriptions by the nurse represents a paradoxical intervention for the Jones family?
Correct Answer: B
Rationale: The correct answer is B because a paradoxical intervention involves prescribing the symptom or issue that the client is struggling with. In this case, the Jones family is experiencing frequent yelling matches when they disagree. By prescribing a specific time for them to yell at each other, the nurse is challenging the dysfunctional pattern and creating an opportunity for them to confront and potentially change their behavior. Choice A is incorrect because it simply avoids the issue without addressing the underlying problem. Choice C is incorrect as it also avoids the issue by postponing the yelling until the counseling session. Choice D is incorrect because it suggests avoiding serious discussions altogether, which doesn't address the root cause of the conflict.
Question 4 of 5
Amanda’s mobile home was destroyed by a tornado. Amanda received only minor injuries, but is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called:
Correct Answer: A
Rationale: The correct answer is A: Crisis resulting from traumatic stress. This is because Amanda's anxiety is a direct result of the traumatic event of her mobile home being destroyed by a tornado. Traumatic stress can lead to emotional and psychological distress, such as anxiety, following a life-threatening or traumatic event. Choices B, C, and D are incorrect: B: Maturational/developmental crisis refers to crises that arise from normal life transitions or developmental stages. Amanda's situation is not a result of a typical life transition. C: Dispositional crisis is a result of pre-existing personality characteristics or coping strategies. Amanda’s crisis is not due to her inherent disposition. D: Crisis of anticipated life transitions involves stress related to expected life changes. Amanda's situation was unexpected due to the tornado and not a planned life transition.
Question 5 of 5
Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become more and more despondent. Her husband has become very concerned, and takes her to the local mental health center. This type of crisis is called:
Correct Answer: B
Rationale: The correct answer is B: Crisis of anticipated life transitions. This type of crisis occurs when an individual faces major life changes that result in feelings of distress or uncertainty. In this scenario, Marie is experiencing a crisis due to the anticipated life transition of her youngest child leaving home. This event has disrupted her usual roles and routines, leading to feelings of despondency. Choice A (Dispositional crisis) refers to crises that arise from an individual's internal characteristics or coping mechanisms, which is not the case here. Choice C (Psychiatric emergency) is not applicable as there is no indication of severe or acute mental health issues requiring immediate intervention. Choice D (Crisis resulting from traumatic stress) does not fit the situation as there is no mention of a traumatic event triggering Marie's distress. In summary, the most appropriate term to describe Marie's crisis is a Crisis of anticipated life transitions, as it aligns with her current situation of struggling to adjust to the new phase of life after