ATI RN
Concept of Family Centered Care Questions
Question 1 of 5
Words are powerful and language can stigmatize the individual dealing with mental illness. How can a nurse personally advocate for such individuals with this in mind?
Correct Answer: C
Rationale: The correct answer is C: Role modeling language that is respectful to those with mental illnesses. Nurses can advocate for individuals with mental illness by demonstrating and promoting respectful language use, which helps reduce stigma and promote understanding. This approach empowers both the individual and others to use language that is sensitive and non-discriminatory. By setting an example through their own communication, nurses can positively influence interactions with individuals dealing with mental illness. Choices A, B, and D are incorrect because: A: Encouraging all clients to be aware of their communication may not directly address the issue of stigma and may inadvertently place the responsibility solely on the individual with mental illness. B: Teaching a client diagnosed with schizophrenia to avoid pressured speech is important for their well-being but does not directly address advocating for individuals with mental illness in the context of stigma and language use. D: Engaging in therapeutic communication is essential in nursing practice but does not specifically focus on advocating for individuals with mental illness regarding language and stigma.
Question 2 of 5
Which client has met the criteria for psychiatric homebound care?
Correct Answer: C
Rationale: The correct answer is C because the client meets the criteria for psychiatric homebound care by experiencing severe panic attacks when trying to leave the home. This indicates significant impairment in functioning outside the home. Explanation: 1. Criterion met: The client's severe panic attacks prevent her from leaving the home, indicating a need for care within the home environment. 2. Impairment in functioning: The client's panic attacks significantly impact her ability to engage in daily activities outside the home. 3. Duration of symptoms: The client has experienced these severe panic attacks for the last 5 years, indicating a chronic and persistent condition. Summary of other choices: A: Depression alone does not necessarily warrant psychiatric homebound care. B: Delusions related to paranoid schizophrenia do not inherently restrict the client to homebound care. D: Obsessive-compulsive behaviors, while impactful, do not specifically require homebound care unless they severely impair functioning outside the home.
Question 3 of 5
A client who has been prescribed chronotherapy for disrupted sleep patterns resulting from his chronic depression tells the nurse that he can't afford to stay in the hospital for the treatments since he has to get back to work. The nurse responds that:
Correct Answer: C
Rationale: Rationale for choice C (correct answer): 1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns. 2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible. 3. This empowers the client to continue treatment while balancing work obligations. 4. It ensures continuity of care and adherence to the therapy plan. Summary of other choices: A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days. B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration. D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.
Question 4 of 5
The nurse is engaging in patient- and family-centered care most effectively when:
Correct Answer: A
Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.
Question 5 of 5
A client is questioning why she was told that the nausea she is experiencing with this new antidepressant medication will subside once her medication is regulated. Based on the pharmacologic principle of steady state, the nurse explains that:
Correct Answer: A
Rationale: The correct answer is A because steady state refers to the point where drug intake equals drug elimination in the body, leading to a constant drug concentration. This equilibrium is reached after approximately 4-5 half-lives of the medication. Once the body reaches steady state, the drug's effects, including nausea, become more predictable and stable. Choice B is incorrect because blood work cannot determine the exact time it takes for the body to reach steady state. Choice C is incorrect because the number of doses is not a reliable indicator for when steady state is reached, as it depends on the drug's half-life and individual factors. Choice D is incorrect because stating that antidepressants have a relatively short half-life is not universally true, and the time to reach steady state can vary depending on the specific medication and individual factors.