ATI RN
Core Concepts of Patient Family Care Questions
Question 1 of 5
The forensic psychiatric nurse oftentimes has conflicting goals when providing psychiatric care while serving the legal system. Which situation best demonstrates this conflict?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the conflict between providing psychiatric care and serving the legal system. In this scenario, the nurse must assess a patient with paranoid schizophrenia who committed a violent act due to delusions. The nurse needs to balance the patient's mental health needs with addressing the legal implications of the violent behavior. Choice B involves caring for a rape victim and preserving evidence, which aligns with both nursing and legal responsibilities. Choice C focuses on providing therapy to offenders, which does not inherently present a conflict between psychiatric care and legal duties. Choice D involves conducting a depression screening for a prisoner, which is important for mental health care but does not inherently involve a conflict with legal obligations.
Question 2 of 5
A family has presented at a community mental health clinic. The mother reports that the children ages 8 and 10 are 'not doing well since their father died three months ago.' The nurse demonstrates an understanding of the goals of a family mental health assessment when initially:
Correct Answer: D
Rationale: The correct answer is D because arranging for the family members to attend age-appropriate grief management groups aligns with the goal of assessing and addressing the family's mental health needs following a significant loss. This approach recognizes the impact of the father's death on the children and the mother, providing them with support and coping strategies. It acknowledges the importance of addressing grief and promoting healthy coping mechanisms within the family unit. Choices A, B, and C are incorrect because they do not directly address the family's mental health needs in the context of grief and loss. Assessing the mother's ability to provide physical care, encouraging discussions with teachers, and observing interactions are important but do not specifically target the emotional and psychological impact of the father's death on the family.
Question 3 of 5
Which of the following actions demonstrates that the nurse has an understanding of the impact that continued advancements in psychopharmacology has on both client outcomes and professional psychiatric nursing practice?
Correct Answer: D
Rationale: Step-by-step rationale for why Answer D is correct: 1. Accessing information on evidence-based practices shows the nurse's commitment to staying informed about psychopharmacology advancements. 2. Being knowledgeable about medications helps in making informed decisions for client care, ultimately leading to better outcomes. 3. Understanding evidence-based practices enhances the nurse's ability to provide safe and effective medication management. 4. By accessing information on best practices, the nurse demonstrates a proactive approach to enhancing professional psychiatric nursing practice. Summary: Answer D is correct because it directly addresses the impact of advancements in psychopharmacology on client outcomes and professional psychiatric nursing practice by emphasizing the importance of staying informed and using evidence-based practices. Other choices do not specifically highlight the nurse's understanding of the impact of psychopharmacology advancements.
Question 4 of 5
Complementary and alternative medicine (CAM) therapies have been growing in popularity and surveys show that they are being used to treat several mental health conditions. With these statistics in mind the nurse is careful to assess which client for the possible use of CAM therapies?
Correct Answer: D
Rationale: Rationale: The correct answer is D. The nurse should assess the middle-aged adult experiencing depression after the death of a parent for possible use of CAM therapies because depression is a common mental health condition that CAM therapies can help alleviate. The client's emotional distress and grief may benefit from holistic approaches like mindfulness meditation or acupuncture. It is important to address mental health conditions with appropriate interventions, and CAM therapies can be a valuable supplement to traditional treatments. Summary: A: While sexual identity issues are important, they do not necessarily indicate a need for CAM therapies in this context. B: Early onset dementia is a neurological condition, and CAM therapies may not be the primary focus for treatment. C: Chronic pain from a knee injury may require more conventional medical interventions before exploring CAM therapies for pain management.
Question 5 of 5
What are the fundamental concepts of dialectical behavioral therapy (DBT)?
Correct Answer: A
Rationale: The correct answer is A because the fundamental concept of DBT is that patients are doing the best they can. This acknowledges that individuals are trying their best with the skills they currently have. Radical acceptance (C) is a core principle in DBT, but it is not the most fundamental concept. While mindfulness (D) is a key component of DBT, it is not the overarching fundamental concept. Motivation and willingness to change (B) are important in therapy, but the primary focus of DBT is on accepting where the patient is currently at in their journey.