ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Nurses' Notes
1000:
Client admitted to behavioral health unit for prolonged weight loss and refusal to eat. Client collapsed at school. The client's parents were called. They contacted the primary care provider, who arranged for a direct admission.
Weight 37.2 kg (82 lb)
Height 157.5 cm (62 inches) BMI 15
1200:
Client observed during noon meal. Client pushed food around the plate. Intake 10% of meal. Offered nutritional supplement. Client declined. Reports feeling anxious due to admission and mealtime. Client states, "I cannot eat this with you watching me."
1500:
Snack provided. Client observed throwing snack into the trash can. When realized they had been observed, they admitted to their action and asked for a second snack. Client ate 10% of the snack.
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Actions to Take A. Accept the client's belief about "forbidden foods." B. Focus on the clients underlying feelings of dysphoria and lack of control C. Encourage the client to limit fasting D. Provide a structure meal environment |
| Potential Condition A. Binge eating disorder B. Bulimia nervosa C. Avoidant restrictive food intake disorder D. Anorexia nervosa |
| Parameters to Monitor A. Cardiac function with ECG B. Calcium level C. Vital signs every 8 hours D. Weight on a daily basis |
Correct Answer: D,B,D,A
Rationale:
To specify the client's likely condition, the nurse should select "D: Anorexia nervosa" as it aligns with the client's behavior of needing a structured meal environment. The nurse should then focus on the underlying feelings of dysphoria and lack of control, which is crucial in addressing anorexia nervosa. For monitoring, cardiac function with ECG is essential due to the potential impact of anorexia on the heart. Weight monitoring on a daily basis is vital to track changes in nutritional status. Choosing these options ensures a comprehensive approach to managing anorexia nervosa.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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