A nurse is caring for a client who has had a cerebrovascular accident in addition to residual right-sided weakness and has difficulty feeding themselves. Which of the following referrals should the nurse make first?
A registered dietitian
A respiratory therapist
A speech-language pathologist
An occupational therapist
The Correct Answer is D
A. A registered dietitian can assist with nutrition planning but is not the first priority when a client has feeding difficulties potentially related to swallowing.
B. A respiratory therapist is not indicated based on the client’s current symptoms of weakness and difficulty feeding.
C. A speech-language pathologist evaluates swallowing and communication, which may be important, but the client’s primary issue is self-feeding due to right-sided weakness.
D. An occupational therapist specializes in helping clients regain independence in activities of daily living, including feeding, dressing, and grooming, making this referral the priority for improving functional independence.
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Related Questions
Correct Answer is D
Explanation
A. While providers have expertise, this statement does not support the client's autonomy or encourage informed decision-making.
B. Suggesting the client talk with family can be helpful, but it still shifts decision-making away from the client’s own preferences.
C. Offering reassurance without information does not support the client’s decision-making process.
D. Providing additional resources empowers the client to make an informed decision and supports autonomy, which is essential in client-centered care.
Correct Answer is C
Explanation
A.Pain when chewing is more related to temporomandibular joint involvement and may require a referral to a dietitianor speech-language pathologistfor swallowing issues.
B.A support group referral would be more appropriate for a social workeror mental health professional, not an occupational therapist.
C.Requiring assistance with completing oral hygieneindicates difficulty with fine motor skills and daily living tasks—core areas of focus for occupational therapists. They help clients adapt and regain independence in performing self-care activities.
D.Difficulty ambulating with a walker would be addressed by a physical therapist, who specializes in mobility and gait training.
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