ATI RN
Concept of Family Centered Care Questions
Question 1 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 2 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.
Question 3 of 5
When an older adult diagnosed with depression reports that she has been taking over-the-counter (OTC) melatonin, the nurse asks:
Correct Answer: B
Rationale: The correct answer is B: "Have you been having trouble sleeping?" This is the correct question because melatonin is commonly used as a sleep aid. The nurse should inquire about the patient's sleep patterns to assess the effectiveness of melatonin and potential side effects related to sleep. Choices A, C, and D are incorrect as they do not directly relate to the use of melatonin as a sleep aid in older adults with depression. Asking about memory, anxiety, or weight loss is not as relevant in this context.
Question 4 of 5
Identify and define the five stages of change addressed in motivational interviewing.
Correct Answer: A
Rationale: The correct answer is A: Precontemplation: denial of problem; goal is to create awareness of the problem. In motivational interviewing, the first stage is Precontemplation, where the individual is unaware or in denial of the problem. The goal is to help them recognize the issue and increase awareness. Choice B (Contemplation) is incorrect because it comes after Precontemplation and involves recognizing the need to change, not denial. Choice C (Determination) is incorrect as it follows Contemplation and involves planning and committing to action. Choice D (Action) is incorrect as it is the stage where the individual applies the change, which comes after Determination.
Question 5 of 5
What non-addictive, non-benzodiazepine is commonly implemented for patients who suffer from generalized anxiety disorder (GAD)?
Correct Answer: A
Rationale: The correct answer is A: Buspirone (BuSpar). Buspirone is commonly used for patients with GAD due to its non-addictive nature and lack of sedative effects like benzodiazepines. It works by affecting serotonin receptors in the brain, reducing anxiety symptoms. ECG changes (choice B) are not a treatment for GAD. Valium (choice C) is a benzodiazepine, which can be addictive and is not recommended for long-term use in GAD. Divalproex (Depakote) (choice D) is typically used for mood disorders like bipolar disorder and not as a first-line treatment for GAD.