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 has four new medications.

The client has extreme difficulty swallowing.

The client is experiencing dysarthria.

The client requires assistance getting dressed.

Answer and Explanation

The Correct Answer is D

Choice A Reason:
The client has four new medications is incorrect. While the addition of new medications may require monitoring and adjustment, it does not directly indicate a need for occupational therapy. Medication management is typically addressed by the healthcare provider or pharmacist.
Choice B Reason:
The client has extreme difficulty swallowing is incorrect. This finding suggests dysphagia, which may require intervention from a speech-language pathologist rather than an occupational therapist. Speech-language pathologists specialize in assessing and treating swallowing difficulties.
Choice C Reason:
The client is experiencing dysarthria is incorrect. Dysarthria refers to difficulty in speaking due to weakness or poor coordination of the muscles used for speech. While it may affect communication and daily activities, it is primarily addressed through speech therapy rather than occupational therapy.
Choice D Reason:
The client requires assistance getting dressed is correct. Difficulty with activities of daily living, such as dressing, bathing, and grooming, is within the scope of occupational therapy. Occupational therapists help clients regain independence in activities of daily living through interventions aimed at improving fine motor skills, coordination, and adaptive strategies. Referring the client to an occupational therapist can help address their dressing needs and promote independence in self-care activities.

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Correct Answer is C

Explanation

Choice A Reason:
Obtaining client intake and output instead of delegating the task to an assistive personnel, may or may not indicate effective time management. It depends on the specific circumstances and urgency of other tasks. Delegating appropriate tasks to assistive personnel can be a component of effective time management when done judiciously.
Choice B Reason:
Documenting medications administered throughout the shift at the end of the day, is not indicative of effective time management. Delaying documentation until the end of the day can lead to inaccuracies, omissions, and potential safety concerns. Timely documentation is essential for maintaining accurate and up-to-date records.
Choice C Reason:
Reviewing a client's medical record before performing a prescribed dressing change is correct. Effective time management involves prioritizing tasks, organizing workflow efficiently, and completing tasks in a timely manner while maintaining quality of care. Option C demonstrates effective time management because reviewing a client's medical record before performing a prescribed dressing change ensures that the nurse is prepared and has all necessary information to perform the task accurately and safely. This action indicates proactive planning and organization, which are key aspects of effective time management.
Choice D Reason:
Skipping lunch to catch up on client documentation, is not indicative of effective time management. Skipping meals can negatively impact the nurse's well-being and ability to provide safe and effective care. Effective time management involves finding a balance between completing tasks efficiently and taking breaks to maintain personal health and well-being.

A. Reinforce facility protocols at the next staff meeting. B. Discuss the issue with the AP. C. Alert the infection control department. D. Notify the unit manager about the incident.

Correct Answer is B

Explanation

Choice A Reason:
Reinforcing facility protocols at the next staff meeting, is important for reminding all staff members of the importance of following protocols, but it may not address the immediate issue at hand.
Choice B Reason:
Discussing the issue with the AP is correct. When a charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol, the first action should be to directly address the issue with the AP. This allows for immediate feedback and correction of behavior, helping to ensure that proper procedures are followed in the future.
Choice C Reason:
Alerting the infection control department, may be necessary if the violation poses a risk of infection transmission, but it may not be the first step. Directly addressing the issue with the AP allows for immediate correction and prevents potential harm.
Choice D Reason:
Notifying the unit manager about the incident, is also important, but addressing the issue with the AP directly is the immediate action needed to correct the behavior.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newly licensed nurse should the nurse identify as an indication of effective time management?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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