ATI RN
Concepts of Family Health Care Questions
Question 1 of 5
The nurse is reinforcing teaching on the rising incidence of HIV in adults over the age of 50 with a group of senior community members. Which factors should the nurse include? (Select all that apply.)
Correct Answer: A
Rationale: Step 1: Older adults are less likely to use condoms due to factors such as decreased perception of risk and lack of awareness. Step 2: This places them at higher risk for HIV transmission. Step 3: Reinforcing education on condom use can help prevent HIV transmission in this age group. Step 4: Therefore, choice A is correct. Summary: Choices B, C, and D are incorrect because they do not directly address the specific risk factors for HIV transmission in adults over 50. Choice B focuses on testing, while choices C and D mention general population trends and immune system function, which are not directly related to the increased HIV incidence in this age group.
Question 2 of 5
An alcohol-dependent individual says, 'Drinking helps me cope with being a single parent.' Which response by the nurse would help the individual conceptualize the drinking more objectively?
Correct Answer: D
Rationale: The correct answer is D because it encourages the individual to reflect on their past behavior and consequences of drinking. By asking about the last drinking episode, the nurse helps the individual connect their coping mechanism with actual outcomes. This approach promotes self-awareness and personal responsibility. Choice A focuses on fear-mongering and may increase resistance. Choice B may come off as confrontational and judgmental, hindering open communication. Choice C is accusatory and may trigger feelings of guilt or shame, rather than fostering insight. Overall, choice D is the most effective as it guides the individual to explore their experiences and understand the link between drinking and its effects.
Question 3 of 5
The treatment team plans care for a person diagnosed with paranoid schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Dual diagnosis: Simultaneous treatment is crucial as both conditions impact each other. 2. Cannabis withdrawal may worsen schizophrenia symptoms, so treating both concurrently is essential. 3. Addressing both diagnoses concurrently increases treatment effectiveness. 4. Residential treatment may not be necessary at this stage without considering simultaneous treatment. Summary: B: Residential treatment may not be needed immediately; focus on simultaneous treatment. C: Withdrawal may worsen schizophrenia symptoms; treating both conditions concurrently is preferable. D: Treating schizophrenia first may not address the immediate exacerbation of symptoms due to cannabis use.
Question 4 of 5
In the emergency department, a patient’s vital signs are: blood pressure (BP), 66/40 mm Hg; pulse (P), 140 beats per minute (bpm); and respirations (R), 8 breaths per minute and shallow. The patient overdosed on illegally obtained hydromorphone (Dilaudid). Select the priority outcome.
Correct Answer: A
Rationale: The correct answer is A because stabilizing the patient's vital signs is the top priority in this critical situation. A blood pressure of 66/40 mm Hg indicates severe hypotension, which can lead to organ failure. A pulse of 140 bpm and shallow respirations of 8 bpm indicate poor perfusion and respiratory distress. Achieving a BP greater than 90/60 mm Hg, P less than 100 bpm, and respirations at or above 12 bpm indicates improved perfusion and oxygenation, which are crucial for the patient's survival. Option B is incorrect as achieving a drug-free state is not the immediate priority in an overdose situation. Option C is incorrect as attending Narcotics Anonymous meetings is important for long-term recovery but not the immediate priority. Option D is incorrect as identifying community resources for substance abuse treatment is important but not as critical as stabilizing the vital signs in an overdose situation.
Question 5 of 5
Which is an important nursing intervention when giving care to a patient withdrawing from a central nervous system (CNS) stimulant?
Correct Answer: D
Rationale: The correct answer is D because observing for depression and suicidal ideation is crucial when caring for a patient withdrawing from CNS stimulants. Depression and suicidal ideation are common withdrawal symptoms, so monitoring for these signs is essential for the patient's safety. It allows for early intervention and appropriate support to prevent any harm. Choice A is incorrect as frequent physical contact may not be appropriate and can potentially agitate the patient during withdrawal. Choice B is incorrect as intellectual activities requiring concentration may overwhelm the patient who is already going through withdrawal symptoms. Choice C is incorrect as denying the patient's requests can lead to increased agitation and resistance during withdrawal, which is not conducive to effective care.