ATI RN
Core Concepts of Patient Family Care Questions
Question 1 of 5
While collecting admission data, the nurse suspects a patient with AIDS is experiencing an HIV-associated neurocognitive disorder. What observations did the nurse make to come to this conclusion? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Inappropriate laughter. Inappropriate laughter is a common symptom of HIV-associated neurocognitive disorder, indicating cognitive impairment. This symptom is often observed in patients with AIDS and can be indicative of changes in behavior and emotional responses. Audible bowel sounds (A) are not specifically related to HIV-associated neurocognitive disorder. Inability to state home address (C) may indicate memory impairment but is not a specific symptom of this disorder. Knee buckling while walking (D) is more related to physical weakness or balance issues rather than cognitive impairment associated with HIV.
Question 2 of 5
A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking. Step 2: Option D reflects the patient's drinking pattern accurately and objectively. Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking. Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly. Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection. Summary: - Option A is passive and does not challenge the patient's perception. - Option B is confrontational and may lead to defensiveness. - Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.
Question 3 of 5
Which statement most accurately describes substance dependence?
Correct Answer: A
Rationale: Rationale for Answer A: 1. Substance dependence involves a lack of control over use, leading to compulsive drug-seeking behavior. 2. Tolerance and withdrawal symptoms are key indicators of substance dependence when intake is reduced or stopped. 3. These symptoms result from physiological changes in the body due to chronic drug use. 4. The cycle of tolerance and withdrawal reinforces the dependence on the substance. Summary of why other choices are incorrect: B. Interference with neurotransmitters is more related to the pharmacological effects of drugs, not a defining feature of substance dependence. C. Additive effects of drugs do not necessarily indicate substance dependence but rather interactions between different substances. D. Combining substances to weaken effects does not define substance dependence; it is more about the compulsive use and physical dependence on a substance.
Question 4 of 5
Which treatment approach is most appropriate for a patient with antisocial tendencies who has been treated several times for substance addiction but has relapsed?
Correct Answer: D
Rationale: The correct answer is D: Residential program. This option is most appropriate because a residential program provides a highly structured environment with 24/7 support and supervision, which is crucial for individuals with antisocial tendencies and a history of relapse. This intensive setting helps address the complex needs of the patient, including addiction and behavioral issues. On the other hand, A (One-week detox program) is too short and does not address the underlying issues. B (Long-term outpatient therapy) may not provide sufficient support and monitoring for someone with a high risk of relapse. C (Twelve-step self-help program) can be beneficial but may not offer the level of supervision and intensive treatment needed for this patient.
Question 5 of 5
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
Correct Answer: C
Rationale: Rationale: - Choice C is correct as the patient is exhibiting symptoms of heroin withdrawal, including runny nose, yawning, insomnia, and chills. - Choice A is incorrect because it describes symptoms of central nervous system depressants, not heroin withdrawal. - Choice B is incorrect as it describes symptoms of hallucinogens, not heroin withdrawal. - Choice D is incorrect as it describes symptoms of stimulants, not heroin withdrawal.