A nurse in an adult day health care center is assessing a client who was referred to the facility after having a stroke that affected their right upper and lower extremities. Which of the following findings should the nurse identify as a need for referral to occupational therapy?

Weight loss of 2.3 kg (5 lb) in 1 month

Coughing after drinking liquids

Unable to recognize pictures

Difficulty gripping objects

Answer and Explanation

The Correct Answer is D

Choice A reason: Weight loss may be a concern but does not directly indicate a need for occupational therapy.

Choice B reason: Coughing after drinking liquids could indicate a swallowing disorder, which would typically require a referral to a speech therapist, not an occupational therapist.

Choice C reason: Inability to recognize pictures might suggest cognitive issues, which could require a neuropsychologist or speech therapist rather than an occupational therapist.

Choice D reason: Difficulty gripping objects is a common impairment after a stroke that affects motor skills, making it a clear indication for occupational therapy to help regain those skills.

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Correct Answer is C

Explanation

Choice A reason: Modifications for activities of daily living are important for rehabilitation but are not specifically related to secondary prevention.

Choice B reason: Home health visits are part of overall care management but do not directly relate to secondary prevention strategies.

Choice C reason: Ongoing screening for high-risk conditions is a key component of secondary prevention, aiming to identify and manage conditions before they lead to further health issues.

Choice D reason: Support groups provide emotional and social support but are not a direct method of secondary prevention.

A. The client has stopped smoking cigars and now smokes a pipe. B. The client increases their intake of St. John's wort to improve sleep. C. The client applies sunscreen twice a day when working as a lifeguard. D. The client attends a health seminar and has a cholesterol test.

Correct Answer is D

Explanation

Choice A reason: Switching from smoking cigars to a pipe is not a prevention activity; it is merely substituting one form of tobacco use for another.

Choice B reason: Increasing the intake of St. John's wort to improve sleep is a complementary therapy, not a secondary prevention activity.

Choice C reason: Applying sunscreen is a primary prevention activity to prevent skin damage from sun exposure.

Choice D reason: Attending a health seminar and having a cholesterol test is a secondary prevention activity as it involves screening to detect diseases early in asymptomatic stages.

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A nurse in an adult day health care center is assessing a client who was referred to the facility after having a stroke that affected their right upper and lower extremities. Which of the following findings should the nurse identify as a need for referral to occupational therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A case management nurse is planning discharge teaching for a client. Which of the following interventions should the nurse plan to include for secondary prevention?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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