ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
The nurse-therapist is counseling the Smith family: Mr. and Mrs. Smith, 10-year-old Rob, and 8-year-old Lisa. When Mr. and Mrs. Smith start to argue, Rob hits Lisa and Lisa starts to cry. The Smiths then turn their attention to comforting Lisa and scolding Rob, complaining that he is 'out of control and we don’t know what to do about his behavior.' These dynamics are an example of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Triangulation. Triangulation occurs when a third party (in this case, the children) is brought into a conflict between two other parties (Mr. and Mrs. Smith). In this situation, the parents' argument has led to the children being drawn into the conflict, with Rob hitting Lisa. The parents then focus on the children, shifting attention away from their own issues. This behavior creates a dysfunctional dynamic within the family. A: Double-bind messages refer to contradictory communication that causes confusion and emotional distress. This is not evident in the given scenario. C: Pseudohostility involves expressing anger indirectly. While there may be some hostility in the family dynamics, it is not the primary issue at play. D: Multigenerational transmission relates to the passing down of behaviors and beliefs through generations, which is not explicitly demonstrated in this scenario.
Question 2 of 5
Amanda’s mobile home was destroyed by a tornado. Amanda received only minor injuries, but is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called:
Correct Answer: A
Rationale: The correct answer is A: Crisis resulting from traumatic stress. This is because Amanda's anxiety is a direct result of the traumatic event of her mobile home being destroyed by a tornado. Traumatic stress can lead to emotional and psychological distress, such as anxiety, following a life-threatening or traumatic event. Choices B, C, and D are incorrect: B: Maturational/developmental crisis refers to crises that arise from normal life transitions or developmental stages. Amanda's situation is not a result of a typical life transition. C: Dispositional crisis is a result of pre-existing personality characteristics or coping strategies. Amanda’s crisis is not due to her inherent disposition. D: Crisis of anticipated life transitions involves stress related to expected life changes. Amanda's situation was unexpected due to the tornado and not a planned life transition.
Question 3 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 4 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 5 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.