ATI RN
Age Specific Patient Care Questions
Question 1 of 5
Which data gathered from the assessment of a family with a schizophrenic member would be of greatest importance in discharge planning for the patient?
Correct Answer: D
Rationale: The correct answer is D because understanding how the patient reacts to family dynamics is crucial for discharge planning. Anxiety triggered by family conflict can impact the patient's well-being post-discharge. Choices A, B, and C are less relevant as they do not directly address the patient's immediate needs or potential stressors. Middle sibling status, maternal artistic talent, and paternal grandfather's eccentricity are interesting but not as directly impactful on the patient's discharge planning compared to the patient's response to family conflicts.
Question 2 of 5
Which of these nursing communications would be most effective in teaching a patient about abusive behavior?
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the issue of abusive behavior in a clear and non-judgmental manner. By framing the question around a specific scenario of abusive behavior and asking for the patient's perspective, it encourages self-reflection and critical thinking. This approach empowers the patient to recognize and acknowledge the abusive behavior, which is crucial for initiating change. Choices B, C, and D are incorrect because they do not specifically address abusive behavior. Choice B focuses on a different type of behavior (childhood aggression), Choice C addresses financial control rather than abuse, and Choice D discusses skepticism in response to a compliment, which is unrelated to abusive behavior. These choices do not effectively target the issue at hand and may lead to confusion or misinterpretation.
Question 3 of 5
Which of these nursing communications best reflects the nurse's use of an empowerment model with an individual who has been abused?
Correct Answer: D
Rationale: The correct answer, D, reflects the nurse's use of an empowerment model because it focuses on exploring the individual's beliefs and options, empowering them to make informed decisions. The nurse is not imposing their own knowledge or opinions but instead facilitating the individual's self-reflection and decision-making process. This approach respects the individual's autonomy and promotes empowerment by helping them identify and evaluate their own choices. Choice A focuses on the nurse sharing knowledge, which may come across as patronizing and disempowering. Choice B dismisses the individual's feelings and relies on research rather than empowering the individual to make their own decisions. Choice C places the responsibility solely on the individual to end the violence, which may feel overwhelming and lacking in support or guidance.
Question 4 of 5
An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which indicator would suggest that nursing interventions are succeeding?
Correct Answer: A
Rationale: The correct answer is A because regular school attendance indicates the child's improved well-being and ability to prioritize education over caregiving responsibilities. B: Playing calmly does not necessarily indicate overall improvement in the child's situation. C: The father's silence during nurse visits does not directly reflect the child's well-being or progress. D: The mother correcting negative comments by the child is positive but does not directly address the child's caregiving responsibilities or self-perceptions.
Question 5 of 5
The mother of a client newly diagnosed with schizophrenia is a nurse. She unhappily tells the nurse on the unit, 'I've tried to be a good mother, but my daughter still developed schizophrenia. When I was in school, we were taught that it was the mother's fault if a child became schizophrenic. I wish I knew what I did wrong.' The response that would help the mother evaluate models explaining schizophrenia would be:
Correct Answer: B
Rationale: Correct answer: B Rationale: 1. This response acknowledges the mother's distress but shifts the focus to new findings suggesting schizophrenia is biologic in nature. 2. It provides the mother with updated information that contradicts the outdated belief that mothers are to blame for schizophrenia. 3. By highlighting the biological basis of the disorder, it helps the mother understand that it is not her fault. 4. This response encourages the mother to consider scientific evidence rather than blaming herself, promoting a more accurate understanding of the condition. Summary: - Choice A validates the mother's feelings but doesn't offer factual information to challenge her belief. - Choice C aims to provide emotional support but doesn't address the mother's need for accurate information. - Choice D introduces the concept of double-bind communication, which is not directly relevant to helping the mother understand the biological nature of schizophrenia.