ATI RN
Core Concepts of Family Centered Care Questions
Question 1 of 5
The most appropriate nursing intervention with Marie (from question 9) would be to:
Correct Answer: D
Rationale: The correct answer is D because Marie is experiencing empty nest syndrome, a common emotional response when children leave home. Grief work helps her process and cope with the loss, while recognizing self-worth beyond motherhood promotes self-identity. Referring her to a physician (A) may not address her emotional needs. Seeking outside employment (B) may not address her emotional concerns. Identifying support systems (C) is helpful but doesn't directly address her need for grief work and self-worth recognition.
Question 2 of 5
The nurse is providing care to a patient who has had diagnostic testing for HIV. Which test should the nurse review to monitor the response to antiretroviral therapy?
Correct Answer: B
Rationale: The correct answer is B: Viral load testing. This test measures the amount of HIV RNA in the blood, reflecting the effectiveness of antiretroviral therapy in suppressing viral replication. Monitoring viral load helps assess treatment response and determine if adjustments are needed. A: Western blot is used for confirming HIV infection, not for monitoring treatment response. C: P24 antigen testing detects a protein associated with HIV infection but is not as sensitive as viral load testing for monitoring therapy. D: Enzyme-linked immunosorbent assay (ELISA) is used for initial HIV screening, not for monitoring treatment response.
Question 3 of 5
A patient asks, 'What is the main purpose of these medications I take for my HIV?' Which response should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because antiretroviral medications used for HIV treatment work by inhibiting enzymes essential for viral replication, thus interfering with viral production. This prevents the virus from multiplying and spreading in the body. Option A is incorrect as medications do not encapsulate virus-infected cells. Option B is incorrect as the medications do not mark the virus for natural killer cells. Option C is incorrect as medications do not attract macrophages to the cells.
Question 4 of 5
An HIV-infected patient reports being a cat lover and says, 'I always get my pets from a known sanitary source.' What should the nurse instruct the patient about cats and the risk of infection?
Correct Answer: D
Rationale: The correct answer is D because HIV-infected individuals are at higher risk for infections, including from Toxoplasma gondii found in cat feces. By ensuring cats have up-to-date immunizations and avoiding their feces, the patient can reduce the risk of infection. A: Keeping cats outdoors most of the time does not address the risk from cat feces inside the house. B: The age of the cat does not necessarily correlate with the risk of infection, so this advice is not relevant. C: Removing all pets and avoiding all contact with cats is an extreme measure and not necessary if proper precautions are taken.
Question 5 of 5
A patient who has AIDS has been instructed on foods to eat to reduce the risk of infection. Which foods should the patient select that indicates correct understanding of this teaching? (Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D: Pasteurized milk. This is because pasteurization kills harmful bacteria, making it safe for consumption by individuals with weakened immune systems like AIDS patients. A: Rare meat and B: Raw seafood may contain harmful bacteria that can pose a risk of infection for AIDS patients. C: Soft egg yolks may also contain harmful bacteria if not fully cooked, which can be dangerous for individuals with compromised immune systems. In summary, pasteurized milk is the safest option as it eliminates the risk of bacterial contamination, while the other choices may increase the risk of infection for a patient with AIDS.