A nurse is caring for a client who has difficulty holding utensils while eating. The nurse should obtain a referral for which of the following members of the interprofessional team?

Occupational therapist

Physical therapist

Dietitian

Social worker

Answer and Explanation

The Correct Answer is A

A. Occupational therapist. An occupational therapist is the appropriate specialist to assess and assist with fine motor skills and daily living activities, such as eating. They can provide adaptive equipment and training to help the client maintain independence and improve quality of life.
B. Physical therapist. A physical therapist focuses primarily on gross motor skills, mobility, and physical strength, not fine motor control necessary for holding utensils. They are more involved in rehabilitation related to ambulation and transfers.
C. Dietitian. A dietitian helps develop nutritionally appropriate meal plans based on medical conditions and dietary needs. However, they do not address the client’s ability to physically manage eating tools or self-feed.
D. Social worker. A social worker provides support with emotional, financial, and community resources, but does not assist with the physical or mechanical aspects of daily tasks like feeding. They may coordinate care but not deliver direct therapy for motor challenges.

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Correct Answer is B

Explanation

A. "You should not delegate this task because you have the capability to obtain clients' weights." The ability to perform a task does not mean it cannot be delegated. Delegation helps manage workload effectively as long as the task is appropriate for the role.
B. "You can delegate this task if the AP has been trained to use our scales." Weighing clients is a routine, noninvasive task that can be delegated to assistive personnel, provided they are trained and competent in using the equipment properly.
C. "You can delegate this task to an AP for new clients before performing a nursing assessment." Initial assessments require nursing judgment and should not be delegated. Data collection like weight should occur after the nurse completes the first assessment.
D. "You should not delegate this task because it requires nursing judgment." Weighing a client does not require clinical judgment and is considered appropriate for delegation to trained assistive personnel under supervision.

A. Delayed B. Anticipatory C. Disenfranchised D. Exaggerated

Correct Answer is B

Explanation

A. Delayed. Delayed grief is characterized by the postponement or suppression of grieving responses, often surfacing long after the loss has occurred. It does not apply here, as the family member is expressing active emotional struggle before the loss.
B. Anticipatory. Anticipatory grief occurs before an actual loss, such as when a loved one is dying from a terminal illness. The family member is beginning to grieve the impending death and the emotional impact of the future loss, which fits this type of grief.
C. Disenfranchised. Disenfranchised grief refers to grief that is not openly acknowledged or socially supported, such as the death of an ex-partner or a pet. In this scenario, the grief is acknowledged and supported, so this does not apply.
D. Exaggerated. Exaggerated grief involves intense symptoms that interfere with daily functioning, such as severe depression, phobias, or suicidal thoughts. The family member is expressing difficulty, but not at a level that indicates dysfunction.

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A nurse is caring for a client who has difficulty holding utensils while eating. The nurse should obtain a referral for which of the following members of the interprofessional team?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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