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. Make decisions on the unit. B. Monitor overall functions of the unit. C. Delegate tasks to assistive personnel. D. Reward and discipline staff as necessary. E. Ensure goals of the facility are being met.

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

Explanation

A. While nurse managers may make decisions on the unit, decision-making is not solely the responsibility of the nurse manager. Decisions are often made collaboratively with input from other team members.
B. Nurse managers are responsible for monitoring the overall functions of the unit, including staffing, patient care, and adherence to policies and procedures.
C. Nurse managers delegate tasks to assistive personnel based on their scope of practice and competency, ensuring that patient care needs are met efficiently.
D. Nurse managers are responsible for managing staff performance, which includes rewarding positive behavior and addressing disciplinary issues when necessary.
E. Nurse managers ensure that the goals and objectives of the facility are being met within their unit, working collaboratively with other departments to achieve organizational objectives.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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

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?