ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
The nurse is addressing a primary symptom of schizophrenia when:
Correct Answer: B
Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment. A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking. C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia. D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.
Question 2 of 5
A client who has been prescribed chronotherapy for disrupted sleep patterns resulting from his chronic depression tells the nurse that he can't afford to stay in the hospital for the treatments since he has to get back to work. The nurse responds that:
Correct Answer: C
Rationale: Rationale for choice C (correct answer): 1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns. 2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible. 3. This empowers the client to continue treatment while balancing work obligations. 4. It ensures continuity of care and adherence to the therapy plan. Summary of other choices: A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days. B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration. D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.
Question 3 of 5
The nurse is engaging in patient- and family-centered care most effectively when:
Correct Answer: A
Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.
Question 4 of 5
A client is questioning why she was told that the nausea she is experiencing with this new antidepressant medication will subside once her medication is regulated. Based on the pharmacologic principle of steady state, the nurse explains that:
Correct Answer: A
Rationale: The correct answer is A because steady state refers to the point where drug intake equals drug elimination in the body, leading to a constant drug concentration. This equilibrium is reached after approximately 4-5 half-lives of the medication. Once the body reaches steady state, the drug's effects, including nausea, become more predictable and stable. Choice B is incorrect because blood work cannot determine the exact time it takes for the body to reach steady state. Choice C is incorrect because the number of doses is not a reliable indicator for when steady state is reached, as it depends on the drug's half-life and individual factors. Choice D is incorrect because stating that antidepressants have a relatively short half-life is not universally true, and the time to reach steady state can vary depending on the specific medication and individual factors.
Question 5 of 5
A client has not been taking his antidepressant medication as prescribed and is admitted with suicidal ideations. The nurse demonstrates an understanding of a possible underlying cause of a client's noncompliance with the treatment plan designed to help manage his depression when:
Correct Answer: A
Rationale: The correct answer is A because it addresses the potential underlying cause of noncompliance - the client's sense of lack of control over their depression, which can lead to hopelessness and suicidal ideations. By asking this question, the nurse can assess the client's perception of their depression and empower them to discuss their feelings of helplessness. Choice B focuses on assessing the client's understanding of the risk of suicide but does not directly address the underlying cause of noncompliance. Choice C involves documenting a supportive statement from the client's son, which is not directly related to the client's noncompliance. Choice D involves observing the client's interaction with family members, which may provide valuable information but does not directly address the underlying cause of noncompliance.