ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
The nurse is preparing to provide education related to HIV transmission at a local community health fair. Which statements should the nurse recommend for inclusion in the teaching? (Select all that apply.)
Correct Answer: B
Rationale: Step 1: Using a new condom for each sex act helps reduce the risk of HIV transmission by preventing the exchange of bodily fluids. Step 2: This practice ensures that there is no risk of contamination from a previously used condom. Step 3: It is a crucial aspect of safe sex practices to protect oneself and others from contracting HIV. Summary: Choice B is correct as it promotes safe sex practices. Choices A, C, and D are incorrect as they do not contribute to reducing the risk of HIV transmission.
Question 2 of 5
A patient asks for information about Alcoholics Anonymous (AA). Which is the nurse’s best response?
Correct Answer: A
Rationale: The correct answer is A: "It is a self-help group with the goal of sobriety." This is the best response because Alcoholics Anonymous (AA) is indeed a self-help group focused on achieving and maintaining sobriety through shared experiences and support. Choice B is incorrect because AA is not led by a psychiatrist but rather by individuals who are also in recovery. Choice C is incorrect as AA does not focus on learning about drinking but rather on supporting recovery. Choice D is incorrect as AA does not advocate for punishment but rather emphasizes compassion and understanding towards individuals struggling with alcohol addiction.
Question 3 of 5
When working with a patient beginning treatment for alcohol dependence, what is the nurse’s most therapeutic approach?
Correct Answer: A
Rationale: The correct answer is A: Empathetic, supportive. This approach establishes trust, shows understanding, and promotes open communication. Empathy helps build a therapeutic relationship, which is crucial in treating alcohol dependence. Being supportive encourages the patient to feel safe and willing to discuss their issues. Strong, confrontational (B) may lead to resistance and defensiveness. Skeptical, guarded (C) can create barriers and hinder progress. Cool, distant (D) may make the patient feel isolated and unsupported. Overall, empathy and support create a positive and collaborative therapeutic environment.
Question 4 of 5
Select the nursing intervention necessary after administering naloxone (Narcan) to a patient with an opiate overdose.
Correct Answer: A
Rationale: The correct answer is A: Monitor the airway and vital signs every 15 minutes. After administering naloxone to a patient with an opiate overdose, it is crucial to monitor the patient's airway and vital signs regularly to assess for respiratory depression, potential re-sedation, and other adverse effects of naloxone. This intervention ensures the patient's safety and allows for prompt detection and management of any complications. Choice B is incorrect because inserting a nasogastric tube and testing gastric pH is not indicated after naloxone administration for opiate overdose. Choice C is incorrect as treating hyperpyrexia with cooling measures is not a priority intervention in this scenario. Choice D is also incorrect as inserting an indwelling urinary catheter is not necessary after administering naloxone for opiate overdose.
Question 5 of 5
Which assessment findings best correlate to the withdrawal from central nervous system depressants?
Correct Answer: C
Rationale: The correct answer is C because the assessment findings of nausea, vomiting, diaphoresis, anxiety, and tremors are classic symptoms of withdrawal from central nervous system depressants such as alcohol or benzodiazepines. Nausea and vomiting can result from the body's attempt to expel the toxic substance, diaphoresis can occur due to increased sympathetic activity, anxiety and tremors are common manifestations of central nervous system hyperactivity during withdrawal. The other choices (A, B, D) do not align with the typical withdrawal symptoms of CNS depressants and are more indicative of other conditions or substances.