ATI RN
Concept of Family Health Nursing Care Questions
Question 1 of 5
The family of a patient with AIDS has been instructed on patient manifestations to report to the health care provider (HCP). Which manifestation should be reported indicating that teaching has been effective?
Correct Answer: C
Rationale: The correct answer is C: Night sweats. Night sweats are a common symptom of advanced HIV/AIDS, indicating a weakened immune system. Reporting this symptom is crucial for monitoring disease progression and adjusting treatment. Fever (A) is common in many conditions, dry mouth (B) is not specific to AIDS, and constipation (D) is not a typical manifestation of AIDS. Reporting night sweats shows understanding of the disease process and the importance of monitoring symptoms in AIDS patients.
Question 2 of 5
The nurse is contributing to a nutrition and hydration teaching plan for a patient who has AIDS. What recommendations should the nurse include in this plan? (Select all that apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: Soft cheeses may contain harmful bacteria that can be dangerous for individuals with compromised immune systems like AIDS patients. The nurse should recommend avoiding soft cheeses to prevent foodborne illnesses. Soft cheeses are typically made from unpasteurized milk, which increases the risk of bacterial contamination. AIDS patients have weakened immune systems, making them more susceptible to infections. Summary of Other Choices: B: Avoiding Caesar salad is not necessarily a specific recommendation for AIDS patients unless there are additional factors to consider, such as the presence of certain raw ingredients that may pose a risk to the patient. C: Avoiding public drinking fountains is a general hygiene recommendation that may apply to all individuals, not specific to AIDS patients. D: Avoiding all beers and soft drinks is not a specific recommendation for AIDS patients unless there are additional factors such as alcohol interactions with medication or sugar content affecting blood sugar levels.
Question 3 of 5
An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?
Correct Answer: B
Rationale: The correct answer is B because alcohol withdrawal symptoms typically peak between 24 to 48 hours after the patient stops drinking. This timeframe aligns with the onset of symptoms such as tremors, anxiety, and hallucinations. Choices A, C, and D are incorrect because withdrawal symptoms do not peak within 6 to 8, 72, or 96 hours after drinking cessation. It is crucial for the nurse to monitor the patient closely during this critical period to manage and prevent potential withdrawal complications.
Question 4 of 5
A hospitalized patient, injured in a fall while intoxicated, believes spiders are spinning entrapping webs in the room. The patient is anxious, agitated, and diaphoretic. Which nursing intervention has priority?
Correct Answer: C
Rationale: The correct answer is C: Provide one-on-one supervision. This intervention has priority because the patient is experiencing hallucinations, agitation, and anxiety, which can pose a risk to their safety. One-on-one supervision ensures constant monitoring and immediate intervention if the patient's condition deteriorates. Checking the patient every 15 minutes (A) may not provide timely intervention. Encouraging fluid intake (B) is important but not the priority in this situation. Keeping the room dimly lit (D) may not address the patient's hallucinations and agitation adequately.
Question 5 of 5
During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, 'After discharge, I’m sure everything will be just fine.' Which remark by the nurse will be most helpful to the spouse?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the spouse's optimism while also gently highlighting the potential challenges that may arise during the recovery process. By pointing out that new problems may emerge as the patient adjusts to a life without alcohol, the nurse prepares the spouse for potential difficulties and encourages realistic expectations. Choice A is incorrect because it only acknowledges the spouse's support without addressing the potential challenges ahead. Choice C is incorrect because it focuses solely on stress avoidance rather than preparing for the overall adjustment process. Choice D is incorrect because it emphasizes monitoring the patient's behavior rather than addressing the spouse's outlook and potential struggles.