ATI RN
Concepts of Family Health Care Questions
Question 1 of 5
Which statement describes the basis of an ethical dilemma?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. An ethical dilemma involves a situation where there is a conflict between two morally acceptable choices. 2. In this scenario, the dilemma is presented as having only two treatment choices which are both painful and have low success rates. 3. The basis of an ethical dilemma is the difficulty in making a decision when faced with two undesirable options. 4. Therefore, option D accurately describes the essence of an ethical dilemma. Summary of why other choices are incorrect: A. Focuses on client-team disagreement, not a true ethical dilemma. B. Describes a situation of potential harm but not a conflict between two morally acceptable choices. C. Discusses decision-making for an incompetent client, which is a different ethical issue than presented in the question.
Question 2 of 5
Nursing advocacy directed towards eliminating the stigma attached to mental illness is based on the fact that:
Correct Answer: B
Rationale: The correct answer is B because it highlights the universal susceptibility to mental illness, emphasizing the importance of advocacy to reduce stigma. Mental health issues can affect anyone regardless of age, gender, or background. By acknowledging this, nurses can advocate for increased understanding and support for those struggling with mental illness. A: While stigmatization does increase stress, this does not directly explain the basis for nursing advocacy. C: Mental illness being chronic does not explain the rationale behind advocating to eliminate stigma. D: While the mentally ill deserve support, this choice does not address the underlying reason for advocacy focused on stigma reduction.
Question 3 of 5
Which intervention is likely to have the greatest positive impact on a client who has a history of medication noncompliance?
Correct Answer: B
Rationale: The correct answer is B because enrolling the client in an in-home psychiatric nursing service that provides medication by injection ensures medication adherence. This intervention eliminates the need for the client to remember to take oral medication, reducing the risk of noncompliance. Inpatient admission (A) may not address the root cause of noncompliance and can be restrictive. Outpatient daycare (C) may not directly address medication adherence. A compliance contract (D) may not address the practical challenges of medication administration. Overall, choice B directly addresses the issue of medication noncompliance by providing a practical solution.
Question 4 of 5
To minimize the risk of injury during an electroconvulsive therapy (ECT) treatment, the nurse:
Correct Answer: C
Rationale: Correct Answer: C Rationale: Inserting a bite-block into the client's mouth prior to the delivery of the electrical stimulus helps prevent the client from biting down on their tongue or injuring their teeth during the seizure. This is crucial for minimizing the risk of injury during ECT treatment. Incorrect Choices: A: Timing the seizure to not last more than 60 seconds is not directly related to minimizing the risk of injury during ECT treatment. B: Monitoring the client's EEG for changes in wave patterns is important for assessing the effectiveness of the treatment but does not directly minimize the risk of injury. D: Applying a cuff to the client's ankle for blood pressure monitoring is important for general monitoring but does not directly address the risk of injury during the seizure.
Question 5 of 5
A member of a group verbally lashes out at the nurse leading the discussion on assuming responsibility for behaviors. When the individual states, 'I was abused as a child by my father; you can't make me take responsibility for all the problems he created for me,' the nurse replies:
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the individual's feelings of anger and provides a safe space for expression. By validating their emotions and offering support, the nurse can help the individual process their past trauma. Choice A focuses solely on the abuse timeline and may not address the immediate emotional need. Choice C avoids the issue and may not help the individual address their feelings constructively. Choice D acknowledges the unresolved issues but doesn't actively support the individual in expressing their emotions. In summary, choice B is the most appropriate as it validates the individual's feelings and offers a safe environment for emotional expression.