ATI RN
Concept of Family Health Nursing Care Questions
Question 1 of 5
Which nursing diagnosis would likely apply to both patients with paranoid schizophrenia and patients with amphetamine-induced psychosis?
Correct Answer: B
Rationale: The correct answer is B: Disturbed thought processes. Both patients with paranoid schizophrenia and amphetamine-induced psychosis commonly experience altered thinking patterns, hallucinations, and delusions. This nursing diagnosis addresses the cognitive disruptions present in both conditions. Incorrect choices: A: Powerlessness - This diagnosis refers to a lack of control over one's life situation, which may not be a primary concern for these patients. C: Ineffective thermoregulation - This diagnosis relates to the body's ability to maintain temperature, which is not typically affected in these conditions. D: Impaired oral mucous membrane - This diagnosis is related to issues with the mouth's lining and is not typically associated with paranoid schizophrenia or amphetamine-induced psychosis.
Question 2 of 5
Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will
Correct Answer: B
Rationale: The correct answer is B because stating 'I see the need for ongoing treatment' demonstrates insight and willingness to engage in further treatment, indicating a readiness for change. This is crucial for someone who has completed multiple detox programs in a short period. Choice A (using rationalization in healthy ways) may not address the underlying issues leading to repeated detox programs. Choice C (identifying constructive outlets for expression of anger) is important but not the most urgent concern after detox. Choice D (developing a trusting relationship with one staff member) is beneficial but does not address the need for ongoing treatment.
Question 3 of 5
A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because rehearsing techniques to handle stressful situations is a crucial aspect of substance abuse relapse prevention. By practicing coping strategies, the patient can effectively navigate triggers and prevent relapse. Choices B, C, and D are incorrect: B: Advising residential treatment is not a proactive relapse prevention strategy and does not empower the patient to manage triggers independently. C: Identifying life skills is important, but alone it may not directly address relapse prevention techniques. D: Isolating from support systems contradicts the importance of social support in recovery and may lead to feelings of loneliness and vulnerability, increasing the risk of relapse.
Question 4 of 5
Which statement made by a mental health nurse demonstrates the need for further education regarding active listening as a therapeutic communication technique?
Correct Answer: C
Rationale: The correct answer is C because asking the client why he blames others is not a recommended approach in active listening. This statement shows a lack of understanding of active listening principles. Active listening focuses on listening without judgment or assumptions, understanding the client's perspective, and reflecting back their feelings. Asking why a client blames others can come across as confrontational and may hinder the therapeutic relationship. Choices A, B, and D demonstrate an understanding of active listening principles by emphasizing the importance of silence, avoiding sharing personal experiences, and refraining from giving direct advice, respectively.
Question 5 of 5
Which statement best demonstrates that the nurse understands the benefit of the effective introduction of evidence-based practice into the practice of professional nursing?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the nurse's understanding of evidence-based practice by acknowledging the importance of consulting literature to guide practice decisions. By mentioning the need to check the literature on atypical antipsychotic medications, the nurse shows a commitment to using research evidence to inform their practice. This aligns with the core principle of evidence-based practice, which emphasizes integrating the best available evidence with clinical expertise and patient preferences. Choice A is incorrect as it focuses on the outcome of evidence-based practice rather than the process of utilizing evidence in decision-making. Choice B is incorrect as it mentions suggesting in-services on evidence-based practice but does not directly show the nurse's understanding of the concept. Choice C is incorrect as it talks about the benefits to nursing students, rather than the application of evidence-based practice in professional nursing practice.