ATI RN
Core Concepts of Family Centered Care Questions
Question 1 of 5
Using Bowen’s systems approach with a family in therapy, the therapist would:
Correct Answer: C
Rationale: The correct answer is C because in Bowen's systems approach, the therapist focuses on increasing the differentiation of individual family members. This means helping each member develop their own sense of self and become more autonomous within the family system. By doing so, family members can better manage their emotions and relationships, leading to healthier dynamics. Choice A is incorrect because Bowen's approach does not aim to change family principles but rather focuses on individual growth within the family system. Choice B is incorrect because the emphasis is not solely on improving communication but rather on enhancing differentiation. Choice D is incorrect because promoting more diffuse boundaries can actually lead to further dysfunction, as Bowen's approach emphasizes strengthening individual boundaries for healthier family functioning.
Question 2 of 5
The most appropriate crisis intervention with Amanda (from question 3) would be to:
Correct Answer: C
Rationale: The correct answer is C because identifying community resources can provide immediate support and assistance to Amanda during the crisis. This approach focuses on practical help and solutions tailored to her specific needs. Encouraging her to recognize her luck (A) may invalidate her feelings, discussing grief stages (B) may not address her immediate needs, and suggesting finding a place with a storm shelter (D) does not directly address her current crisis.
Question 3 of 5
The most appropriate nursing intervention with Marie (from question 9) would be to:
Correct Answer: D
Rationale: The correct answer is D because Marie is experiencing empty nest syndrome, a common emotional response when children leave home. Grief work helps her process and cope with the loss, while recognizing self-worth beyond motherhood promotes self-identity. Referring her to a physician (A) may not address her emotional needs. Seeking outside employment (B) may not address her emotional concerns. Identifying support systems (C) is helpful but doesn't directly address her need for grief work and self-worth recognition.
Question 4 of 5
The nurse is caring for a patient with HIV. For which common opportunistic infection should the nurse observe when caring for this patient?
Correct Answer: C
Rationale: The correct answer is C: Candida albicans. Patients with HIV are at risk for opportunistic infections due to their weakened immune system. Candida albicans is a common fungal infection seen in HIV patients due to their compromised immunity. It can manifest as oral thrush, esophageal candidiasis, or vaginal yeast infections. Observing for signs of Candida albicans is essential for early detection and treatment. Incorrect choices: A: Toxoplasmosis - While Toxoplasmosis is another opportunistic infection seen in HIV patients, it is more commonly associated with neurological manifestations such as encephalitis. B: Cryptococcosis - Cryptococcosis is a fungal infection caused by Cryptococcus neoformans, commonly affecting the lungs and central nervous system in HIV patients. D: Cryptosporidiosis - Cryptosporidiosis is a parasitic infection that primarily affects the gastrointestinal tract and is commonly seen in HIV patients with severe
Question 5 of 5
The nurse is providing care to a patient who has had diagnostic testing for HIV. Which test should the nurse review to monitor the response to antiretroviral therapy?
Correct Answer: B
Rationale: The correct answer is B: Viral load testing. This test measures the amount of HIV RNA in the blood, reflecting the effectiveness of antiretroviral therapy in suppressing viral replication. Monitoring viral load helps assess treatment response and determine if adjustments are needed. A: Western blot is used for confirming HIV infection, not for monitoring treatment response. C: P24 antigen testing detects a protein associated with HIV infection but is not as sensitive as viral load testing for monitoring therapy. D: Enzyme-linked immunosorbent assay (ELISA) is used for initial HIV screening, not for monitoring treatment response.