A client who had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?

Speech-language pathologist

Social worker

Physical therapist

Certified nursing assistant

Answer and Explanation

The Correct Answer is A

Choice A reason: A speech-language pathologist specializes in evaluating and treating swallowing disorders (dysphagia). After a cerebrovascular accident, impaired swallowing can lead to aspiration, malnutrition, and pneumonia. The SLP conducts assessments and develops individualized therapy plans to improve swallowing safety and function.

Choice B reason: While social workers support psychosocial needs and discharge planning, they do not assess or treat dysphagia. Their role is not clinical in this context and would not address the swallowing impairment directly.

Choice C reason: Physical therapists focus on mobility, strength, and rehabilitation of motor function. Although they are vital in stroke recovery, they do not manage swallowing disorders.

Choice D reason: Certified nursing assistants provide basic care such as feeding and hygiene but are not qualified to assess or treat dysphagia. They may assist with implementing safe feeding techniques under guidance but are not the appropriate referral source.

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Correct Answer is ["B","C","E"]

Explanation

Choice A reason: Diagnostic services are part of primary or acute care and are not considered restorative. Restorative care focuses on helping individuals regain function and independence after illness or injury.

Choice B reason: Rehabilitation facilities are a key component of restorative care. They provide structured therapy and support to help patients recover physical and cognitive abilities following injury, surgery, or illness.

Choice C reason: Home health care is restorative when it includes skilled nursing, physical therapy, or occupational therapy aimed at improving function and promoting independence in the home setting.

Choice D reason: Oncology centers primarily provide specialized treatment for cancer and are categorized under tertiary care. They are not typically considered restorative unless they include rehabilitation services.

Choice E reason: Skilled nursing facilities offer restorative services such as physical therapy, wound care, and assistance with activities of daily living. They support recovery and help patients transition back to independent living or long-term care.

A. The dietician will help me with my diet due to diabetes. B. The dietician will assist me in affording my medication. C. The dietician will change my treatment plan. D. The dietician will manage my care.

Correct Answer is A

Explanation

Choice A reason: A dietician plays a crucial role in helping clients with diabetes manage their condition through nutritional planning. They provide individualized dietary recommendations to help regulate blood glucose levels, prevent complications, and support overall health. This statement accurately reflects the purpose of the referral.

Choice B reason: Dieticians do not typically assist with financial aspects of medication. That responsibility may fall to social workers, case managers, or financial counselors.

Choice C reason: Treatment plans are developed and modified by the primary care provider or endocrinologist. While dieticians contribute to the nutritional component, they do not independently change the overall treatment plan.

Choice D reason: Care management is a multidisciplinary responsibility. Dieticians contribute to care but do not oversee or manage all aspects of it. This statement overstates their role.

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A client who had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a newly licensed nurse about restorative health care. Which of the following examples should be included in the discussion? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is assisting with teaching a client newly diagnosed with type I diabetes mellitus. A referral for a dietician has been initiated. Which of the following statements by the client indicates the purpose for the referral?

Correct Answer is A

Explanation

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