ATI RN
ATI Comprehensive Predictor 2023 Exit exam A Questions
Extract:
Nurses' Notes
Vital Signs
Adult child accompanying parent reports cognitive and physical decline in the client, expressing concern over memory loss, thought processes, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that might help, but it has not. I found the title to the car today, signed over to me."
Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression
Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month
1030:.
Client found sitting in waiting room, head in hands. Client says, "Why don't you just leave me? I am of no use.”
Question 1 of 5
Click to highlight the findings that require immediate follow-up.
Adult child reports decline in memory, thought process, appetite, and self-care; hired help ineffective; car title signed over. |
Client makes poor eye contact, speaks in monotone, lacks facial expression. |
Client says, 'Why don't you just leave me? I am of no use.' |
Client reports not wanting to eat anymore. |
Client's child reports 8 lb weight loss in the past month. |
Correct Answer: A,B,C,D,E
Rationale: These findings suggest cognitive impairment, depression, and/or malnutrition, requiring immediate follow-up. The adult child's report indicates significant decline and potential legal/financial concerns (car title transfer). Poor eye contact, monotone speech, and flat affect are signs of depression or cognitive issues. The statement of being 'no use' suggests suicidal ideation or severe low self-esteem. Not wanting to eat and 8 lb weight loss indicate malnutrition and potential worsening of physical health. A comprehensive assessment of cognitive, behavioral, and nutritional status is needed, along with interdisciplinary collaboration and monitoring.
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Question 5 of 5
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