A nurse is caring for a client with Parkinson’s disease who has difficulty using utensils during meals. Which interdisciplinary team member should the nurse recommend for a referral?
Physical therapist
Recreational therapist
Occupational therapist
Speech therapist
The Correct Answer is C
Choice A rationale
A physical therapist focuses on improving a client’s movement, mobility, and function, and relieving pain. They may not specialize in helping clients with difficulties using utensils during meals.
Choice B rationale
A recreational therapist uses a variety of modalities, including arts and crafts, animals, sports, games, dance and movement, drama, music, and community outings to help maintain or improve a patient’s physical, social, and emotional well-being. However, they may not be the best fit for a client having difficulty using utensils during meals.
Choice C rationale
An occupational therapist specializes in helping people regain, develop, and build skills that are important for independent functioning, health, and well-being. They can provide strategies and make recommendations for adaptive equipment, such as specially designed utensils, to
help the client with Parkinson’s disease eat more independently. Therefore, referring the client to an occupational therapist would be the most beneficial.
Choice D rationale
A speech therapist specializes in the evaluation and treatment of communication disorders and swallowing disorders. While they could assist if the client had difficulties with swallowing, they may not be the best fit for a client having difficulty using utensils during meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Closing one’s eyes during wound dressing may indicate avoidance or denial, which are not effective coping strategies. It’s important for patients to be aware of their condition and participate in their care to the extent possible.
Choice B rationale
Spending the day staring at the TV may indicate withdrawal or depression, which are not signs of effective coping. Engaging in activities, socializing, and participating in physical therapy or rehabilitation can help improve mood and promote recovery.
Choice C rationale
While it’s normal for patients to want to stay home until they feel better or until they have completed reconstructive surgery, this statement alone does not necessarily indicate effective coping. It’s important for patients to gradually resume normal activities and social interactions as their condition allows.
Choice D rationale
Expressing a desire to see the surgical site indicates acceptance and a willingness to participate in care, which are signs of effective coping. This shows that the patient is taking an active role in their recovery and is not avoiding or denying their condition.
Correct Answer is B
Explanation
Choice A rationale
Having a total cholesterol level below 200 mg/dL is generally considered healthy and does not increase stroke risk. High cholesterol can contribute to atherosclerosis, a condition that increases stroke risk.
Choice B rationale
Losing excess weight can indeed help decrease stroke risk. Obesity is a risk factor for several health conditions that increase stroke risk, including hypertension and diabetes.
Choice C rationale
Glucocorticoids are not typically prescribed to decrease stroke risk. In fact, long-term use of glucocorticoids can increase the risk of conditions such as hypertension and diabetes, which in turn can increase stroke risk.
Choice D rationale
An HbA1c level of 6 percent or less is generally considered good blood sugar control for people with diabetes. Good blood sugar control can help prevent complications of diabetes, including stroke.
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