ATI RN
Concept of Family Health Nursing Care Questions
Question 1 of 5
Which statement made by a client who has been the victim of physical abuse by her partner supports the nurse's belief that the client has developed competence?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the client's understanding of her own agency and ability to take control of her situation. By acknowledging her strength to leave if she feels threatened, the client shows an awareness of her own capabilities and empowerment. This statement indicates that the client is moving towards autonomy and taking steps to ensure her safety. Choice A reflects a sense of fatalism and resignation, which does not demonstrate competence. Choice C minimizes the abuse by attributing it to an external factor (anger management issue) rather than recognizing it as a pattern of behavior. Choice D relies on the abuser's promises rather than the client's own actions and decision-making, which does not indicate competence.
Question 2 of 5
The nurse notifies the treatment team that the client's electroconvulsive therapy treatment scheduled for 9:45 a.m. is to be cancelled when the:
Correct Answer: D
Rationale: The correct answer is D because food intake before electroconvulsive therapy (ECT) can increase the risk of aspiration during the procedure, which can be life-threatening. Buttered toast, cooked cereal, tea, and juice are considered solid food items that should be avoided before ECT to prevent complications. Choices A, B, and C are not immediate contraindications for canceling the ECT session. A: The client's wife being late does not impact the safety of the procedure. B: Taking antihypertensive medication does not pose a direct risk before ECT. C: Fitful sleep and bad dreams do not indicate a need for cancellation unless related to a medical emergency.
Question 3 of 5
In order to best evaluate the achievement of goals of individual stress management group members, the nurse leading the group:
Correct Answer: C
Rationale: The correct answer is C because using a Likert scale to periodically ask group members to rate their ability to manage stress with the techniques learned provides quantitative data for evaluating progress. This method allows for tracking changes over time and identifying trends in stress management improvement. A is incorrect because it relies on subjective self-reporting at the last meeting only, which may not capture ongoing progress. B is incorrect as it focuses on individual demonstrations at each session, which may not reflect overall stress management improvement. D is incorrect as it relies on group evaluation at the final session, which may not provide consistent and individualized feedback throughout the program.
Question 4 of 5
A teenager who has a history of alcohol abuse wants to host a holiday party at his home. In order to best implement family-based measures to prevent the use of alcohol or drugs the parents will:
Correct Answer: B
Rationale: The correct answer is B because by insisting on being home and visible during the party, the parents can actively supervise and monitor the activities, deterring any alcohol or drug use. They can intervene promptly if any issues arise. A: Refusing to allow the teenager to host the party may lead to rebellion and secretive behavior. C: Allowing the party in a public space does not guarantee supervision or control over alcohol/drug use. D: Having attendees sign a contract relies solely on their compliance without active supervision or monitoring.
Question 5 of 5
A client's history documents that there have been examples of indirect self-destructive behavior. Which nursing assessment data supports this diagnosis?
Correct Answer: B
Rationale: The correct answer is B because reports of abusing alcohol since the age of 16 indicate a pattern of indirect self-destructive behavior. This behavior can lead to physical harm and other negative consequences. Option A directly mentions suicide attempts, not indirect behavior. Option C is unrelated to self-destructive behavior. Option D, while acknowledging suicidal thoughts, does not demonstrate a pattern of indirect self-destructive behavior like long-term alcohol abuse.