ATI RN
Core Concepts of Patient Family Care Questions
Question 1 of 5
Using the strategic approach with a family in therapy, the therapist would:
Correct Answer: A
Rationale: The correct answer is A because in the strategic approach, therapists focus on changing the underlying principles within the family system that contribute to dysfunctional behavior patterns. By addressing these core beliefs and principles, therapists aim to create lasting change in the family dynamics. Incorrect choices: B: While improving communication and interaction patterns is important in family therapy, it is not the primary focus of the strategic approach. C: Increasing the differentiation of individual family members is more aligned with structural family therapy, not the strategic approach. D: Promoting more diffuse boundaries between family members may lead to further dysfunction rather than resolving it in the strategic approach.
Question 2 of 5
The most appropriate nursing intervention with Jenny (from question 5) would be to:
Correct Answer: A
Rationale: The correct answer is A because Alateen meetings provide support and understanding for teenagers living with family members struggling with alcoholism. Attending these meetings can help Jenny feel less alone, gain coping strategies, and build a support network with peers in similar situations. Choice B is incorrect as it minimizes Jenny's struggles and may invalidate her feelings. Choice C focuses on the biological aspect of alcoholism, which may not address Jenny's emotional needs. Choice D involves a referral to a psychiatrist for private therapy, which may not provide the peer support and understanding that Alateen meetings can offer.
Question 3 of 5
Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured, but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, 'I don’t know why Carlo had to die and I didn’t!' This statement by Andrew suggests that he is experiencing:
Correct Answer: C
Rationale: The correct answer is C: Survivor's guilt. Andrew's statement indicates feelings of guilt and confusion about why he survived while Carlo did not. Survivor's guilt is a common psychological response in individuals who have lived through a traumatic event where others did not. Andrew's frequent nightmares and anxiety attacks are also typical symptoms of survivor's guilt. A: Spiritual distress is not the correct answer in this scenario as Andrew's statement does not specifically reference any spiritual or religious beliefs or conflicts. B: Night terrors may be a symptom of Andrew's PTSD, but his statement about not understanding why he survived while Carlo did not suggests a deeper emotional struggle beyond just experiencing night terrors. D: Suicidal ideation is not the correct answer as Andrew's statement does not indicate any desire or intention to harm himself. Rather, he is expressing confusion and guilt about surviving the traumatic event.
Question 4 of 5
The nurse is reinforcing teaching on transmission of HIV for a family of a patient diagnosed with HIV. Which explanation by the nurse would be correct?
Correct Answer: D
Rationale: The correct answer is D because HIV enters the body through breaks in the skin or mucous membranes, such as during unprotected sexual contact or sharing needles. This is crucial information for preventing transmission. Choice A is incorrect as HIV is not spread through casual contact. Choice B is incorrect because HIV does not live for long periods outside the body. Choice C is incorrect as tears and saliva do not typically transmit HIV. Understanding how HIV is transmitted helps in implementing effective prevention strategies.
Question 5 of 5
A patient who has HIV asks the nurse why blood work has to be done so frequently. Which response should the nurse make to the patient?
Correct Answer: D
Rationale: The correct answer is D because monitoring CD4+ lymphocyte counts is crucial in managing HIV. CD4+ cells are the primary target of the HIV virus, and their count reflects the status of the immune system and disease progression. By tracking CD4+ levels, healthcare providers can determine the need for antiretroviral therapy and assess the effectiveness of treatment. Choice A is incorrect because B-lymphocytes are not typically used to monitor HIV progression. Choice B is incorrect as phagocytes are not specifically related to HIV disease progression. Choice C is incorrect as neutrophils are not the primary indicator for managing HIV.