ATI RN
Family Centered Care Nursing Model Questions
Question 1 of 5
The criteria for which of the following risk factors for metabolic syndrome varies by race/ethnicity?
Correct Answer: C
Rationale: In the context of the Family Centered Care Nursing Model, understanding the risk factors for metabolic syndrome is crucial for providing holistic care tailored to individual needs. In this question, the correct answer is C) Waist circumference. Waist circumference is a risk factor for metabolic syndrome that varies by race/ethnicity due to differences in body composition and distribution of fat. Certain ethnic groups may have higher or lower risk levels associated with specific waist circumference measurements. It is an important indicator of central obesity, a key component of metabolic syndrome. Hypertension (Option A) is a common risk factor for metabolic syndrome, but its criteria do not significantly vary by race/ethnicity. Fasting plasma glucose levels (Option B) and HDL-C levels (Option D) are also consistent indicators across different racial/ethnic groups in assessing metabolic syndrome risk. Educationally, this question highlights the importance of cultural competence in healthcare. Nurses need to be aware of how risk factors for conditions like metabolic syndrome can manifest differently in diverse populations. By understanding these nuances, nurses can effectively engage in family-centered care practices that address the unique needs of each individual or family unit they work with.
Question 2 of 5
What percentage of body weight lost represents the threshold in modifying risk factors for metabolic syndrome?
Correct Answer: D
Rationale: In the context of the Family Centered Care Nursing Model, understanding the impact of weight loss on metabolic syndrome is crucial for providing holistic care to families. The correct answer is D) 5-10% of body weight lost represents the threshold in modifying risk factors for metabolic syndrome. This range of weight loss has been identified through research as being effective in improving metabolic markers such as blood pressure, cholesterol levels, and blood sugar control. Option A) 20-25% is too high of a percentage for modifying risk factors for metabolic syndrome. Such a significant weight loss is not typically needed to see improvements in metabolic health and could be unrealistic and discouraging for individuals. Option B) 15-20% is also above the recommended threshold for modifying risk factors for metabolic syndrome. While weight loss in this range may still provide some health benefits, it is not as precise as the 5-10% range identified in research. Option C) 10-15% falls within a slightly higher range than the recommended threshold. While weight loss in this range may still lead to improvements in metabolic health, it is not as accurate as the 5-10% range. Educationally, understanding the specific percentage of weight loss needed to modify risk factors for metabolic syndrome is important for nurses working within the Family Centered Care model. This knowledge allows nurses to provide evidence-based guidance and support to families in setting achievable goals for improving their metabolic health through weight management.
Question 3 of 5
After the death of a spouse, an adult repeatedly says, I should have made him go to the doctor when he said he didn't feel well. This individual is experiencing:
Correct Answer: D
Rationale: In this scenario, the individual is experiencing guilt. This is evidenced by their statement of regret for not taking action when the spouse reported feeling unwell. Guilt is a common emotion experienced by individuals who have lost a loved one, as they may feel responsible for not doing enough to prevent the death or for decisions made during the loved one's illness. Option A, preoccupation with the image of the deceased, is incorrect because the individual is not fixating on memories or images of the deceased, but rather on their own actions or inactions. Option B, sensations of somatic distress, is also incorrect as there is no mention of physical symptoms in the scenario. Option C, anger, is not the primary emotion being expressed by the individual in this context. Educationally, understanding the different emotional responses to grief is crucial for nurses practicing family-centered care. By recognizing and addressing feelings of guilt, nurses can provide appropriate support and guidance to individuals navigating the complex emotions associated with loss. This knowledge can help nurses facilitate healthy coping mechanisms and promote emotional well-being in grieving individuals.
Question 4 of 5
As death approaches, a patient diagnosed with acquired immunodeficiency syndrome (AIDS) says, I dont want to see a lot of visitors anymore. Just my parents and my sibling can come in for a while each day. What action should the nurse take?
Correct Answer: B
Rationale: As many patients approach death, they begin to withdraw. In the stage of acceptance, many patients are exhausted and tired, and interactions of a social nature are a burden. Many prefer to have someone present at the bedside who will sit without constantly talking. The correct response demonstrates the nurses advocacy for the patients preferences.
Question 5 of 5
An 11-year-old says, My parents dont like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know Im dumb. Which nursing diagnosis applies to this child?
Correct Answer: A
Rationale: The child has indicated a belief in being too dumb to learn. The child receives negative and demeaning feedback from the parents. The child has internalized these messages, resulting in a low self-esteem. Deficient knowledge refers to knowledge of health care measures. Disturbed personal identity refers to an alteration in the ability to distinguish between self and non-self. Grieving may apply, but a specific loss is not evident in the scenario. Low self-esteem is more relevant to the childs statements.