Questions 179

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ATI RN Comprehensive Predictor 2023 Updated Questions

Extract:

Nurses' notes
0900:
A 16-year-old client reports to the clinic with their caregiver. The client's caregiver informs the nurse that the client has "not been themselves lately." The client's parents and a sibling passed away from injuries sustained when a tornado moved through their town 1 month ago. They were the only survivor and witnessed their family's deaths.
0910:
Client appears anxious but answers questions appropriately for age. They report experiencing nightmares that awaken them at night and startle easily during thunderstorm, but the client admits that they have always been afraid of thunderstorms. Client admits smoking marijuana for about 1 month because it helps clear their mind. They also admit that they have no desire to leave the house. They do attend school regularly and are on the honor roll.


Question 1 of 5

Based on the information in the client's medical record, which of the following findings require immediate follow-up? Select the 4 findings that require follow-up.

Smoking marijuana to clear their mind
BP 122/80 mm Hg
Witnessing their family's death
Attends school regularly
Client experiences nightmares
Startles easy during thunderstorm
Caregiver reporting client acting differently than usual

Correct Answer: A,C,E,F,H

Rationale: Given the scenario, immediate follow-up is needed for findings that may indicate potential risks or issues.
A: Smoking marijuana for mental clarity can indicate substance abuse and potential mental health concerns.
C: Witnessing family's death can lead to psychological trauma and requires emotional support.
E: Experiencing nightmares could indicate underlying psychological distress or trauma.
F: Startling easily during a thunderstorm may indicate heightened anxiety or PTSD symptoms.
H: Caregiver reporting client acting differently suggests a change in behavior that needs assessment.
Other choices are not as urgent:
B: BP within normal range, not an immediate concern.
D: Attending school regularly is positive.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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