ATI RN
Concepts of Family Health Care Questions
Question 1 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 2 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.
Question 3 of 5
An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):
Correct Answer: D
Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.
Question 4 of 5
Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?
Correct Answer: B
Rationale: The correct answer is B, "When did you have your last drink?" This question is crucial in assessing the patient's current alcohol intake and potential withdrawal symptoms. Knowing this information helps determine the urgency of medical intervention and monitoring. Choice A focuses on past experiences, not immediate concerns. Choice C is important but does not address the patient's current condition. Choice D is relevant for treatment planning but not as urgent as knowing the last drink time for immediate assessment.
Question 5 of 5
While caring for a patient with a methamphetamine overdose, which tasks are the priority focuses of care? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Prevention of seizures. Methamphetamine overdose can lead to seizures due to its effects on the central nervous system. Preventing seizures is crucial to avoid further complications. A: Administration of naloxone is used for opioid overdoses, not methamphetamine. B: Vitamin B12 and folate supplements may be beneficial for long-term recovery but are not the priority in the acute care of a methamphetamine overdose. C: Restoring nutritional integrity is important but not the immediate priority when managing a methamphetamine overdose. In summary, preventing seizures should be the priority focus of care for a patient with a methamphetamine overdose as it directly addresses a life-threatening complication of the overdose.