ATI RN
Concept of Family Health Care Questions
Question 1 of 5
Which nursing-focused activity is best directed toward the future of evidence-based psychiatric nursing practice?
Correct Answer: D
Rationale: The correct answer is D because re-evaluating the validity of traditionally accepted psychiatric nursing care interventions aligns with evidence-based practice principles. By critically examining current practices and seeking evidence to support them, nurses can ensure that interventions are based on the best available evidence. A: Offering depression screening is important but does not specifically address evidence-based practice for psychiatric nursing. B: Pursuing an advanced practice degree is beneficial for individual growth but does not directly impact evidence-based practice for the field. C: Discussing nursing interventions with the care team is collaborative but may not necessarily focus on evidence-based practice specifically.
Question 2 of 5
A young adult tells the nurse at the local free clinic that he is currently living in his car and panhandling for money. The nurse asks the individual the reason for his decision to live as he does. Which response will the nurse follow up on to determine if the individual is experiencing mental health issues?
Correct Answer: C
Rationale: The correct answer is C because the response indicates a potential underlying fear of being harmed, which could suggest paranoia or anxiety related to mental health issues. This response shows a sense of vulnerability and a need for safety by avoiding potential harm. Choices A and D do not directly address any mental health concerns but rather focus on external factors and legalities. Choice B suggests a purposeful and temporary choice that does not indicate mental health issues. Therefore, the nurse should follow up on choice C to further assess the individual's mental well-being.
Question 3 of 5
A client diagnosed with depression has reported fatigue and poor concentration. When she is told that the results of her sleep study show that she has excessive REM sleep cycles, the client asks the nurse to explain what those results mean. The nurse best answers the client's concerns by replying:
Correct Answer: C
Rationale: The correct answer is C: "Too much REM sleep deprives you of deep restoring sleep." This is the best answer because excessive REM sleep can disrupt the normal sleep cycle, leading to a deprivation of deep, restorative sleep stages like slow-wave sleep. During REM sleep, the brain is active, but the body remains mostly immobile. This can result in poor sleep quality and contribute to symptoms of fatigue and poor concentration reported by the client. Choice A is incorrect because excessive REM sleep does not necessarily mean the client is sleep deprived. Choice B is an oversimplification and does not address the potential negative impact of excessive REM sleep on sleep quality. Choice D is also incorrect because while depressed individuals may have alterations in their sleep patterns, not all depressed individuals experience prolonged periods of REM sleep.
Question 4 of 5
The Mini Mental State Exam is most appropriately used when the:
Correct Answer: A
Rationale: The correct answer is A because the Mini Mental State Exam is specifically designed to assess a client's cognitive function, including orientation, memory, attention, and language skills. This makes it ideal for evaluating cognitive impairment, dementia, and other neurological conditions. The other choices are incorrect because B focuses on time constraints rather than the purpose of the exam, C addresses behavioral issues rather than assessment goals, and D pertains to mood assessment rather than cognitive function evaluation. Therefore, A is the best choice for the appropriate use of the Mini Mental State Exam.
Question 5 of 5
Diverse cultural beliefs can result in dramatically varied perceptions of wellness, disease, and the treatment of disease. In order to best address these variations when planning nursing care, the nurse and client initially:
Correct Answer: B
Rationale: The correct answer is B: Discuss what the client believes is the cause of his or her illness. This is the best initial step to address cultural variations in perceptions of wellness and disease because it allows the nurse to understand the client's perspective and tailor care accordingly. By exploring the client's beliefs, the nurse can identify any cultural factors that may impact treatment decisions. A: Agree to respect each other's beliefs and values - While important, this is a broader concept and may not directly address the specific cultural beliefs influencing the client's health views. C: Agree that treatment planning will include family members when possible - Involving family members is valuable but may not directly address the immediate need to understand the client's beliefs about illness. D: Discuss the incorporation of both traditional nursing practice and culturally based practices - This is important but may be premature without first understanding the client's specific beliefs about illness.