ATI RN
Concepts of Family Health Care Questions
Question 1 of 5
The nurse is reviewing the use of a condom to prevent the transmission of HIV with a young adult patient seeking testing for HIV. Which patient statement indicates an understanding of how to use a condom?
Correct Answer: D
Rationale: The correct answer is D because withdrawing from the partner while the penis is erect helps prevent leakage of semen and reduces the risk of HIV transmission. Applying a condom before penile erection (Choice C) is incorrect as it may lead to condom slippage. Using a non-latex condom (Choice A) is important for those with latex allergies, but it doesn't address proper condom use. Applying oil-based lubricant (Choice B) is incorrect as it can weaken latex condoms, increasing the risk of breakage.
Question 2 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 3 of 5
A woman in the last trimester of pregnancy drinks 8 to 12 ounces of alcohol daily. The nurse plans for the delivery of an infant who is:
Correct Answer: D
Rationale: The correct answer is D because alcohol consumption during pregnancy can lead to fetal alcohol syndrome (FAS), characterized by microcephaly and cognitive impairments. Alcohol can cross the placental barrier, affecting the developing fetus's brain and causing irreversible damage. Jaundice (choice A) is not directly caused by alcohol consumption but by other factors like liver dysfunction. Dependence on alcohol (choice B) is a consequence for the mother, not the baby. Although alcohol can lead to low birth weight, the term "underweight" (choice C) is not specific enough to capture the full extent of harm caused by prenatal alcohol exposure.
Question 4 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 5 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.