ATI RN
Family Centered Care Theory Nursing Questions
Question 1 of 5
Which of the following nonverbal cues would be deemed offensive according to West African culture?
Correct Answer: B
Rationale: In West African culture, extending one's left hand in greeting is deemed offensive because the left hand is traditionally considered unclean due to its association with personal hygiene practices. This gesture can be seen as disrespectful and impolite. Making direct eye contact is generally considered a sign of respect and attentiveness in many cultures, including West African cultures. Shaking hands is a common form of greeting in many cultures, including in West Africa. Crossing one's legs while seated is also a common practice and is not considered offensive in West African culture. From an educational perspective, understanding cultural nuances and nonverbal cues is crucial for healthcare providers, especially in the context of family-centered care in nursing. By being aware of and respecting cultural differences, nurses can establish trust and rapport with patients and their families, ultimately improving the quality of care and patient outcomes. It is essential for healthcare providers to receive education and training on cultural competence to ensure effective communication and delivery of care in diverse healthcare settings.
Question 2 of 5
An adult who was widowed 18 months ago says, I can now remember good times we shared without getting upset. Sometimes I even think about the disappointments. Tve become accustomed to sleeping in our bed alone. The work of mourning:
Correct Answer: C
Rationale: The correct answer is C) is at or near completion. This response is the most appropriate because the individual's statement reflects a significant progression in the mourning process. They are able to recall good memories without becoming upset, acknowledge disappointments, and have adapted to sleeping alone after their spouse's death. These signs indicate that the individual has worked through their grief and is moving towards acceptance and adjustment to their new reality. Option A) is beginning, is incorrect because the individual's statements indicate that they have already made progress in mourning and are not just starting the process. Option B) is progressing abnormally, is incorrect because there is no evidence in the scenario to suggest abnormal progression of mourning. The individual's feelings and behaviors are within the expected range for someone who is grieving. Option D) has not begun, is incorrect because the individual clearly demonstrates signs of mourning and adaptation to their loss. They are reflecting on their past, including both positive and negative experiences, which is a common aspect of the mourning process. In an educational context, understanding the stages of grief and the process of mourning is crucial for healthcare professionals, especially nurses working in settings where they provide care for individuals who have experienced loss. Recognizing the signs of progressing mourning helps nurses provide appropriate support and interventions to facilitate healthy coping and adjustment for their patients.
Question 3 of 5
Children of a widowed parent confer with the nurse; their surviving parent repeatedly relates the details of finding the deceased parent not breathing, performing cardiopulmonary resuscitation, going to the hospital by ambulance, and seeing the pronouncement of death. The family asks, What can we do? The nurse should counsel the family:
Correct Answer: D
Rationale: The correct answer is D) that repeating the story is a helpful and a necessary part of grieving. In family-centered care theory in nursing, it is essential to understand the grieving process and provide support that acknowledges the unique needs of each family member. Encouraging the family to share their feelings and allowing the surviving parent to retell the story multiple times helps in processing the loss and expressing emotions. Option A is incorrect because telling the surviving parent to stop retelling the story may hinder their grieving process and suppress their need to talk about the traumatic event. Option B is incorrect as limiting the retelling to once daily may impose unnecessary restrictions on a natural coping mechanism. Option C is incorrect as the behavior described is not related to aging but to the process of grieving and seeking support. Educationally, it's important for nurses to recognize the different ways individuals cope with loss and provide a supportive environment that allows for expression of emotions and processing of the traumatic event. Understanding the principles of family-centered care and grief support is crucial for nurses to effectively guide families through the grieving process.
Question 4 of 5
After treatment for a detached retina, a survivor of intimate partner abuse says, My partner only abuses me when I make mistakes. Ive considered leaving, but I was brought up to believe you stay together, no matter what happens. Which diagnosis should be the focus of the nurses initial actions?
Correct Answer: A
Rationale: In this scenario, the correct diagnosis to focus on is option A) Risk for injury related to physical abuse from partner. This is the priority because the survivor is at immediate risk of harm due to the abusive behavior of their partner. The nurse's initial action should be to ensure the safety of the survivor and provide support to address the risk of further injury or harm. Option B) Social isolation related to lack of a community support system is incorrect because while social isolation can be a contributing factor, the immediate concern is the risk of physical harm. Option C) Ineffective coping related to uneven distribution of power within a relationship is not the most appropriate initial focus, as the primary concern is the safety of the survivor. Option D) Deficient knowledge related to resources for escape from an abusive relationship is important for long-term planning but may not be the immediate priority when the survivor is at risk of physical harm. Educationally, this rationale highlights the importance of prioritizing safety in cases of intimate partner abuse and the critical role of nurses in assessing and addressing the risk of harm in such situations. It emphasizes the need for a swift and appropriate response to ensure the well-being of the individual experiencing abuse.
Question 5 of 5
An adult recently diagnosed with AIDS is hospitalized with pneumonia. The patient and family are very anxious. Select the best outcome to add to the plan of care for this family.
Correct Answer: B
Rationale: Desired outcomes might be set for the family as a whole or for individuals within the family. The outcome most closely associated with the anxiety that each member is experiencing is to focus on identifying and describing ways of coping with the anxiety. The other options are not appropriate at this time.