ATI RN
Family Centered Care Nursing Questions Questions
Question 1 of 5
When is it acceptable for an adult patient to withhold potentially life-threatening diagnosis from his/her family?
Correct Answer: A
Rationale: The correct answer is A) By law, the patient may make personal health decisions without telling others. Rationale: In healthcare ethics, the principle of autonomy grants individuals the right to make decisions about their own health, including the choice to withhold personal health information from their family members. This right is legally upheld in many countries, including the concept of patient confidentiality protected by laws like HIPAA in the United States. Option B) It is never acceptable to withhold personal health information from family is incorrect because while transparency and open communication are generally encouraged in healthcare, there are circumstances where a patient may have valid reasons to keep certain information private, such as protecting their emotional well-being or maintaining control over their own health narrative. Option C) Only if the patient is free of psychological disorders is incorrect as mental health status alone does not determine an individual's capacity to make decisions about sharing their health information with their family. Option D) Only if the patient's health insurance is not being paid for by his/her family is incorrect as financial arrangements should not dictate a patient's right to privacy regarding their health status. Educational Context: Understanding the legal and ethical principles surrounding patient autonomy and confidentiality is crucial for healthcare professionals to provide patient-centered care. Respecting a patient's right to privacy and decision-making empowers them to be active participants in their healthcare journey, fostering trust and collaboration between patients and healthcare providers. It is essential for nurses to be aware of these principles to navigate complex situations where patient confidentiality and family involvement may come into conflict.
Question 2 of 5
Stereotyping of what ethnic background is significant in the discussion of sickle cell disease?
Correct Answer: A
Rationale: In the context of sickle cell disease, the correct answer is A) African American. This is because sickle cell disease is most commonly seen in individuals of African descent. It is a genetic disorder that affects hemoglobin, the protein in red blood cells that carries oxygen. Individuals with sickle cell disease have abnormal hemoglobin that causes their red blood cells to become rigid and sickle-shaped, leading to various complications. Option B) Asian, and option D) Caucasian, are incorrect because sickle cell disease primarily affects individuals of African descent. While sickle cell trait can be found in individuals from other ethnic backgrounds, the full-blown disease is most prevalent in African Americans. Option C) Hispanic (Latino) is also incorrect as sickle cell disease is not as prevalent in this ethnic group compared to African Americans. In an educational context, understanding the significance of ethnic background in the discussion of sickle cell disease is crucial for healthcare providers to provide culturally competent care. Recognizing the higher prevalence of sickle cell disease in African Americans can help in early detection, appropriate management, and education of patients and families about the condition. It also highlights the importance of considering a patient's ethnic background when assessing risk factors for certain diseases.
Question 3 of 5
Giving advice about diet and lifestyle change is most effective at which of the following stages?
Correct Answer: B
Rationale: In the context of family-centered care in nursing, giving advice about diet and lifestyle changes is most effective at the Contemplative stage. This stage, as per the Transtheoretical Model of Behavior Change, is when individuals are actively thinking about changing their behavior within the next six months. At this stage, individuals are more open to receiving and processing information, making it an opportune time for healthcare providers to offer guidance and support regarding diet and lifestyle modifications. Option A, Precontemplative, is not the most effective stage for giving advice as individuals in this stage are not considering behavior change and may be resistant to suggestions. Option C, Postcontemplative, represents a stage where individuals have already made changes, so advice may be less crucial at this point. Option D, Relapse, indicates a setback in behavior change and would not be the ideal time to offer advice on diet and lifestyle changes. Educationally, understanding the stages of behavior change is vital for nurses working with families to promote health and wellness. By recognizing the appropriate stage of change, nurses can tailor their approach to effectively support families in making sustainable improvements to their health behaviors. This knowledge enhances the nurse's ability to engage families in meaningful conversations and interventions that are more likely to result in positive outcomes.
Question 4 of 5
After being notified that her husband died of heart failure, a wife approaches the nurse who cared for her husband. In the hospital hallway the wife shouts angrily, He'd still be alive if you'd given him your undivided attention! Select the nurses best response.
Correct Answer: A
Rationale: The correct answer is A) "I understand you're feeling upset. Let's go to our conference room, and I'll stay with you until your family comes." This response demonstrates empathy, active listening, and a commitment to providing emotional support to the grieving wife. It acknowledges her feelings and offers a private space for her to express her emotions while ensuring she is not alone during this difficult time. Option B is incorrect because it comes across as dismissive and could be perceived as lacking empathy towards the wife's emotional state. While providing medical information is important, in this context, emotional support should take precedence. Option C is also incorrect as involving the nursing supervisor at this point may escalate the situation and does not address the immediate emotional needs of the wife. Option D, while acknowledging the normalcy of crying in grief, does not actively address the immediate emotional distress of the wife or offer support beyond validation of her emotions. In an educational context, this scenario highlights the importance of effective communication and emotional intelligence in nursing practice, especially in situations involving grief and loss. Nurses need to prioritize empathy, active listening, and providing emotional support to patients and their families during times of distress. This response also emphasizes the significance of creating a safe and supportive environment for individuals to express their emotions openly.
Question 5 of 5
An individual was killed during a store robbery 2 weeks ago. The widowed spouse, who is diagnosed with schizoaffective disorder, cries spontaneously when talking about the death. Which is the nurses most therapeutic comment?
Correct Answer: B
Rationale: The patient is expressing feelings related to the loss, and this is an expected and healthy behavior. This patient is at risk for dysfunctional grieving because of the history of a severe psychiatric illness, but the nurses priority intervention is to form a therapeutic alliance and support the patients expression of feelings. The patients crying 2 weeks after the spouses death is expected and normal.