The nurse is assessing a family system applying the family system framework model. Which assessment would be important for the nurse?

Questions 19

ATI RN

ATI RN Test Bank

ATI Active Learning Template Basic Concept Mental Health Questions

Question 1 of 5

The nurse is assessing a family system applying the family system framework model. Which assessment would be important for the nurse?

Correct Answer: D

Rationale: Step 1: Interpersonal differentiation is important in family systems as it refers to individual family members' ability to maintain their own identity while remaining connected to the family unit. Step 2: Assessing interpersonal differentiation helps the nurse understand how well family members can balance autonomy and connection within the family. Step 3: This assessment is crucial for identifying healthy functioning within the family system and potential issues related to boundaries, enmeshment, and rule acceptance. Step 4: In contrast, choices A, B, and C focus more on specific aspects of family dynamics, but they do not directly address individual family members' ability to maintain their identity within the system.

Question 2 of 5

The nurse is caring for a client who has been receiving treatment for schizophrenia with chlorpromazine for the past year. It would be essential for the nurse to monitor the client for which of the following?

Correct Answer: D

Rationale: The correct answer is D: Tardive dyskinesia. Tardive dyskinesia is a potential side effect of long-term antipsychotic use, including chlorpromazine. It is characterized by involuntary repetitive movements, such as lip smacking or tongue protrusion. The nurse should monitor the client for early signs of tardive dyskinesia to prevent irreversible damage. Choices A, B, and C are incorrect: A: Weight loss is not typically associated with chlorpromazine use; in fact, weight gain is more common. B: Torticollis is a condition characterized by a twisted neck, which is not a common side effect of chlorpromazine. C: Hypoglycemia is not a known side effect of chlorpromazine; instead, it is more commonly associated with other medications like insulin or sulfonylureas.

Question 3 of 5

The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because staying with the client and emphasizing safety helps establish trust and security, which are crucial during a panic attack. This intervention provides reassurance and support, reducing the client's anxiety and promoting a sense of safety. A: Demonstrating empathy is important, but trying to mimic the client's anxiety may escalate the situation. B: Leaving the client alone may increase feelings of abandonment and worsen the panic attack. C: Providing false reassurance by stating a positive prognosis may invalidate the client's feelings and minimize the seriousness of their experience. In summary, choice D is the most appropriate as it focuses on providing immediate support and safety to help the client through the panic attack.

Question 4 of 5

The nurse is preparing to interview a client diagnosed with complex somatic symptom disorder. The nurse anticipates that the client will most likely exhibit which of the following?

Correct Answer: D

Rationale: The correct answer is D because clients with complex somatic symptom disorder often exhibit rapidly changing moods during the interview due to the distress associated with their physical symptoms. This is a common manifestation of the emotional turmoil they experience. A: No facial expression is less likely as emotional expression is common. B: Intermittent nodding and glancing at the clock may suggest anxiety or distraction, but not specific to this disorder. C: Altered mental status is not a typical feature of complex somatic symptom disorder.

Question 5 of 5

After teaching the parents of a child diagnosed with ADHD about the disorder and its treatment, the nurse determines that the teaching has been effective when the parents state which of the following?

Correct Answer: A

Rationale: The correct answer is A because it demonstrates understanding and acceptance of the child's condition, emphasizing that the child is not inherently bad. This statement shows empathy, understanding, and willingness to support the child. Choice B is incorrect because it focuses on a potential negative outcome rather than addressing the immediate needs of the child with ADHD. Choice C is incorrect because stopping medication abruptly can have negative consequences on symptom management and may not accurately assess the medication's effectiveness. Choice D is incorrect because consistency and firm boundaries are essential for children with ADHD, and allowing occasional violations of limits may not be conducive to the child's development and symptom management.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days

Similar Questions