A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?
The client is experiencing dysarthria.
The client has extreme difficulty swallowing.
The client has four new medications.
The client enjoys helping to prepare meals.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client’s aPTT is within the therapeutic range for heparin, so immediate interdisciplinary discussion is not required.
B. Clients using insulin pumps require coordination between the nurse, endocrinologist, and diabetes educator to ensure safe insulin administration and blood glucose management, making an interdisciplinary conference appropriate.
C. Orthostatic hypotension being managed with IV fluids can typically be addressed within routine nursing care without needing an interdisciplinary meeting.
D. The client’s albumin level is within normal limits, and risk for pressure injuries can be managed with standard nursing interventions without requiring a conference.
Correct Answer is B
Explanation
Rationale:
A. Failing to put bed rails in place that results in a fall is considered negligence, not battery.
B. Battery is the intentional and unauthorized physical contact with a client. Inserting a feeding tube against a client’s expressed refusal meets this definition, making it the correct example.
C. Telling a client they must receive an injection is coercion or threat, which may be assault, not battery, unless physical contact occurs.
D. Threatening to apply restraints is assault, as no actual contact has yet occurred.
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