ATI RN
Core Concepts of Patient Family Care Questions
Question 1 of 5
The nurse has been discussing actions to prevent AIDS-related wasting syndrome with a patient being treated for AIDS. Which patient statements indicate an understanding of this teaching? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Eat a low-residue diet. This is because AIDS-related wasting syndrome can lead to malabsorption issues and gastrointestinal symptoms, making it difficult for the body to absorb nutrients from food. A low-residue diet is recommended to reduce the amount of fiber and bulk in the diet, making it easier for the body to digest and absorb nutrients. Choices B, C, and D are incorrect as they do not specifically address the nutritional needs of a patient with AIDS-related wasting syndrome. Drinking liquids before meals may help with appetite but does not address nutrient absorption. Enjoying food odors may stimulate appetite but does not focus on nutrient intake. Numbing oral sores with ice or popsicles addresses symptom management but does not address the underlying issue of nutrient absorption.
Question 2 of 5
A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe?
Correct Answer: C
Rationale: The correct medication to anticipate for this patient is a benzodiazepine, such as lorazepam (Ativan). Rationale: 1. Benzodiazepines are commonly used to treat acute agitation and anxiety in patients, which is present in this case. 2. Lorazepam has a rapid onset of action and can help calm the patient quickly. 3. It can help manage the patient's perception of the window blinds as snakes and reduce agitation. 4. Benzodiazepines are safer for patients with alcohol intoxication compared to other sedatives or antipsychotics. Summary of Incorrect Choices: A: Monoamine oxidase inhibitors are not typically used for acute agitation and anxiety. They have a slower onset of action and are not first-line for this situation. B: Phenothiazines may worsen the patient's condition due to their potential side effects like sedation and hypotension. D: Narcotic analgesics are not appropriate for managing anxiety or agitation
Question 3 of 5
A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking. Step 2: Option D reflects the patient's drinking pattern accurately and objectively. Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking. Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly. Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection. Summary: - Option A is passive and does not challenge the patient's perception. - Option B is confrontational and may lead to defensiveness. - Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.
Question 4 of 5
Which statement most accurately describes substance dependence?
Correct Answer: A
Rationale: Rationale for Answer A: 1. Substance dependence involves a lack of control over use, leading to compulsive drug-seeking behavior. 2. Tolerance and withdrawal symptoms are key indicators of substance dependence when intake is reduced or stopped. 3. These symptoms result from physiological changes in the body due to chronic drug use. 4. The cycle of tolerance and withdrawal reinforces the dependence on the substance. Summary of why other choices are incorrect: B. Interference with neurotransmitters is more related to the pharmacological effects of drugs, not a defining feature of substance dependence. C. Additive effects of drugs do not necessarily indicate substance dependence but rather interactions between different substances. D. Combining substances to weaken effects does not define substance dependence; it is more about the compulsive use and physical dependence on a substance.
Question 5 of 5
Which treatment approach is most appropriate for a patient with antisocial tendencies who has been treated several times for substance addiction but has relapsed?
Correct Answer: D
Rationale: The correct answer is D: Residential program. This option is most appropriate because a residential program provides a highly structured environment with 24/7 support and supervision, which is crucial for individuals with antisocial tendencies and a history of relapse. This intensive setting helps address the complex needs of the patient, including addiction and behavioral issues. On the other hand, A (One-week detox program) is too short and does not address the underlying issues. B (Long-term outpatient therapy) may not provide sufficient support and monitoring for someone with a high risk of relapse. C (Twelve-step self-help program) can be beneficial but may not offer the level of supervision and intensive treatment needed for this patient.