A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate to the nurse the need for referral to an occupational therapist?
Memory loss
Receptive aphasia
Facial drooping
Unilateral neglect
The Correct Answer is D
Rationale:
A. Memory loss may require referral to neuropsychology or speech therapy for cognitive rehabilitation, not occupational therapy.
B. Receptive aphasia (difficulty understanding language) is best addressed by a speech-language pathologist, not an occupational therapist.
C. Facial drooping relates to motor weakness and swallowing/speech issues, which are typically managed by physical therapy and speech therapy.
D. Unilateral neglect (ignoring one side of the body or environment) after a stroke affects the client’s ability to perform activities of daily living. Occupational therapy focuses on improving independence in self-care and adapting to such deficits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Memory loss may require referral to neuropsychology or speech therapy for cognitive rehabilitation, not occupational therapy.
B. Receptive aphasia (difficulty understanding language) is best addressed by a speech-language pathologist, not an occupational therapist.
C. Facial drooping relates to motor weakness and swallowing/speech issues, which are typically managed by physical therapy and speech therapy.
D. Unilateral neglect (ignoring one side of the body or environment) after a stroke affects the client’s ability to perform activities of daily living. Occupational therapy focuses on improving independence in self-care and adapting to such deficits.
Correct Answer is D
Explanation
Rationale:
A. Dysarthria (difficulty with articulation) is a speech problem that requires referral to a speech-language pathologist, not an occupational therapist.
B. Difficulty swallowing indicates dysphagia, which also requires referral to a speech-language pathologist, not an occupational therapist.
C. Managing new medications requires teaching and monitoring by the nurse or pharmacist, not an occupational therapist.
D. An occupational therapist (OT) helps clients regain independence in activities of daily living (ADLs) such as cooking, dressing, and grooming. Since the client enjoys meal preparation, the OT can provide strategies and adaptive equipment to help safely resume this meaningful activity.
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