A nurse is caring for a client who is chemically impaired. Which of the following is a key topic in the cascade of care framework for opioid use disorder (OUD)
Engagement in care
Recovery
Readmission
Medication initiation
The Correct Answer is A
A. This is a crucial step in the cascade of care, as it involves connecting individuals with OUD to treatment services. Without engagement, subsequent steps like medication initiation and recovery cannot be achieved.
B. While recovery is the ultimate goal of OUD treatment, it is a later stage in the cascade. It follows successful engagement, medication initiation, and retention in care.
C. This is not a primary focus of the cascade of care framework, although it can be a relevant outcome measure to assess the effectiveness of treatment.
D. While important, medication initiation is a step that occurs after engagement in care. It is not the foundational element of the cascade.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Playing a video game with an adolescent does not typically involve medical or technical procedures that require specialized training. This assignment focuses on providing companionship and support, which is appropriate for a volunteer, especially if the activity is aimed at providing comfort and distraction.
B. Transporting a patient who is in traction requires specific training and knowledge to ensure the patient’s safety and proper handling of the traction equipment. Volunteers typically do not have the necessary training to safely manage such tasks, and improper handling could lead to complications or injury.
C. Reading a book to a preschool-aged child is a non-medical, supportive activity that does not involve any clinical procedures or risks. It is an appropriate way for a volunteer to provide comfort and engagement to a child in a non-invasive manner.
D. Rocking an infant is a comforting and supportive activity that does not require medical expertise. Volunteers can safely provide physical comfort and emotional support to infants, as long as they follow any specific guidelines or protocols provided by the healthcare facility.
Correct Answer is D
Explanation
A. A child with a head injury may require close monitoring for neurological changes, which could involve frequent assessments and interventions. While not directly related to infection risk, the needs of this child may be different from those of a postoperative child, making this pairing less ideal due to differing care needs and potential disruptions.
B. A child in sickle cell crisis is likely experiencing significant pain and requires specialized care for pain management and hydration. This condition is not contagious but can be complex and may require frequent interventions, making it less ideal to room with a postoperative patient who needs a controlled environment for recovery.
C. Streptococcal pharyngitis is a contagious infection caused by Group A Streptococcus. To minimize the risk of postoperative infection, it is generally advisable to avoid placing a postoperative patient in the same room with someone who has a contagious infection. This would help in preventing the potential spread of infection to the postoperative child, who is already vulnerable.
D. A child with a new diagnosis of type 1 diabetes mellitus requires education and management of blood glucose levels. This condition is not contagious and does not pose a risk of infection to a postoperative patient. Therefore, the needs of this child align well with the postoperative child, as both are managing chronic conditions rather than dealing with infections.
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