ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
The nurse psychotherapist is working with the Jones family in the outpatient mental health clinic. The husband says, 'We can’t agree on anything! And it seems like every time we disagree on something it ends up in a screaming match.' Which of the following prescriptions by the nurse represents a paradoxical intervention for the Jones family?
Correct Answer: B
Rationale: The correct answer is B because a paradoxical intervention involves prescribing the symptom or issue that the client is struggling with. In this case, the Jones family is experiencing frequent yelling matches when they disagree. By prescribing a specific time for them to yell at each other, the nurse is challenging the dysfunctional pattern and creating an opportunity for them to confront and potentially change their behavior. Choice A is incorrect because it simply avoids the issue without addressing the underlying problem. Choice C is incorrect as it also avoids the issue by postponing the yelling until the counseling session. Choice D is incorrect because it suggests avoiding serious discussions altogether, which doesn't address the root cause of the conflict.
Question 2 of 5
Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become more and more despondent. Her husband has become very concerned, and takes her to the local mental health center. This type of crisis is called:
Correct Answer: B
Rationale: The correct answer is B: Crisis of anticipated life transitions. This type of crisis occurs when an individual faces major life changes that result in feelings of distress or uncertainty. In this scenario, Marie is experiencing a crisis due to the anticipated life transition of her youngest child leaving home. This event has disrupted her usual roles and routines, leading to feelings of despondency. Choice A (Dispositional crisis) refers to crises that arise from an individual's internal characteristics or coping mechanisms, which is not the case here. Choice C (Psychiatric emergency) is not applicable as there is no indication of severe or acute mental health issues requiring immediate intervention. Choice D (Crisis resulting from traumatic stress) does not fit the situation as there is no mention of a traumatic event triggering Marie's distress. In summary, the most appropriate term to describe Marie's crisis is a Crisis of anticipated life transitions, as it aligns with her current situation of struggling to adjust to the new phase of life after
Question 3 of 5
A patient with HIV asks the nurse if thinking about dying frequently is common with HIV. What is an appropriate response by the nurse?
Correct Answer: C
Rationale: Rationale for Correct Answer C: 1. HIV is now considered a chronic disease with treatment, meaning many individuals can live long and healthy lives with proper medical care. 2. By informing the patient that HIV is a chronic disease, the nurse can provide reassurance and hope. 3. Acknowledging the patient's concerns while highlighting the positive advancements in HIV care can help alleviate anxiety and provide comfort. Summary of Incorrect Choices: A: This answer instills fear without providing accurate information about the current state of HIV treatment. B: This answer dismisses the patient's concerns and does not offer any constructive information or support. D: This answer is misleading as HIV mortality rates have significantly decreased with advancements in treatment, and planning for death should not be the primary focus for individuals living with HIV.
Question 4 of 5
A patient who has AIDS expresses concern about telling others about the illness. Which response would be appropriate by the nurse?
Correct Answer: B
Rationale: The correct answer is B: "You should tell those who have a reason to know." This response is appropriate as it respects the patient's autonomy and privacy. By sharing the diagnosis with only those who need to know, the patient can control who has access to this sensitive information. This approach also promotes trust and open communication within the patient's support network. Option A is incorrect as it disregards the patient's right to privacy and may cause unnecessary stress. Option C is incorrect as it assumes the diagnosis will inevitably become public, which may not be the case if the patient chooses to keep it private. Option D is incorrect as it oversimplifies the situation and may not consider the patient's unique circumstances and preferences.
Question 5 of 5
The nurse is reviewing laboratory results for a patient who has HIV. Which result would be strongly suggestive of a diagnosis of AIDS?
Correct Answer: A
Rationale: The correct answer is A because a CD4+ count of 180/μL is significantly below the normal range (500-1500/μL) and indicative of severe immunosuppression, which is a hallmark of AIDS. CD4+ percentage alone (choice B) may not provide the full picture. CD8+ count (choice C) doesn't directly indicate immune system status in HIV/AIDS. The CD4+/CD8+ ratio (choice D) may be altered in various conditions, not specific to AIDS.