Difficulty: Medium
Average Score: 79%
Simulated
Passage / Scenario
Nurses' Notes0945:
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 Ib 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."
Click to highlight the findings that require immediate follow-up.
Correct answer
A,B,C,D
Rationale
These findings suggest significant cognitive decline, potential depression, and possible suicidal ideation, requiring immediate attention.