A nurse initiates a referral to an occupational therapist for a client with care at the facility.

Which of the following client care tasks should the nurse support the need for this referral?

The client requires assistance with completing oral hygiene.

The client expresses the desire to join a support group.

The client reports pain when chewing solid foods.

The client has difficulty ambulating with a walker.

Answer and Explanation

The Correct Answer is A

A. Occupational therapists help clients develop, recover, improve, and maintain the skills needed for daily living and working. Their focus includes activities of daily living (ADLs), which encompass tasks such as grooming, dressing, bathing, and oral hygiene. Therefore, a client requiring assistance with completing oral hygiene would benefit from an occupational therapist’s expertise in promoting independence in daily self-care activities.

B The client expresses the desire to join a support group: This need is better addressed by a social worker or a counselor who can facilitate connections to appropriate support groups and provide psychosocial support.

C The client reports pain when chewing solid foods: This issue may require assessment and intervention by a dentist or a speech therapist (if related to swallowing difficulties), not an occupational therapist.

D The client has difficulty ambulating with a walker: Physical therapists, rather than occupational therapists, typically address issues related to mobility and ambulation aids.

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Correct Answer is D

Explanation

A. A client who has active bleeding from a puncture wound of the left groin area – Although this client is at risk for significant blood loss, the immediate priority is to assess and address any potential cardiac issues in clients with respiratory distress.

B. A client who has a raised red skin rash on his arms, neck, and face: While a rash may indicate an allergic reaction or infection, it is not immediately life-threatening compared to active bleeding.
C. A client who reports right-sided flank pain and is diaphoretic: Flank pain and diaphoresis could indicate various serious conditions such as kidney stones or myocardial infarction, but active bleeding requires more immediate intervention.

D. A client who reports shortness of breath and left neck and shoulder pain – This client is experiencing symptoms that may indicate a serious cardiac event, such as a myocardial infarction or pulmonary embolism, which requires urgent evaluation and intervention. The combination of shortness of breath and pain in these areas raises the highest concern for potential life-threatening conditions.

A. The nurse shares their performance plan with another nurse. B. The nurse attends a critical thinking class. C. The nurse verbalizes their understanding of the plan. D. The nurse performs all tasks as specified.

Correct Answer is D

Explanation

A. The nurse shares their performance plan with another nurse: While sharing the performance plan with another nurse may indicate a level of transparency, it does not necessarily demonstrate that the nurse has improved their performance.
B. The nurse attends a critical thinking class: Attending a class may be part of the remediation plan, but it does not directly indicate whether the nurse's performance has improved.
C. The nurse verbalizes their understanding of the plan: Verbalizing understanding is a positive step, but it does not necessarily guarantee improved performance in practice.

D. The nurse performs all tasks as specified: This is the correct answer. The ultimate goal of a performance improvement plan is to address areas of weakness and ensure that the nurse is able to perform their duties effectively. If the nurse consistently performs all tasks as specified, it
indicates that the plan has been effective in addressing performance issues.

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A nurse initiates a referral to an occupational therapist for a client with care at the facility. Which of the following client care tasks should the nurse support the need for this referral?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

Correct Answer is D

Explanation

A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?

Correct Answer is D

Explanation

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A nurse initiates a referral to an occupational therapist for a client with care at the facility.

Which of the following client care tasks should the nurse support the need for this referral?