A nurse is contacting an occupational therapist for a client who had a stroke with right-sided weakness and has difficulty eating. Which of the following roles should the nurse expect the occupational therapist to perform?
Assists in finding an economic living arrangement for the client
Promotes health by ensuring the client's nutritional needs are met
Provides and adjusts devices to assist the client with daily living activities
Uses heat, massage, and water to treat a client's strength and movement
The Correct Answer is C
A. Assists in finding an economic living arrangement for the client: Arranging housing or financial resources is primarily the role of a social worker, not an occupational therapist.
B. Promotes health by ensuring the client's nutritional needs are met: While occupational therapists may help with adaptive feeding techniques, overall nutrition management is the responsibility of a dietitian or nurse.
C. Provides and adjusts devices to assist the client with daily living activities: Occupational therapists evaluate and provide adaptive equipment, training, and strategies to help clients regain independence in activities such as feeding, dressing, and grooming.
D. Uses heat, massage, and water to treat a client's strength and movement: These interventions are typically performed by a physical therapist, who focuses on improving mobility, strength, and range of motion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fidelity: Fidelity involves keeping promises and honoring commitments made to the client. By returning to administer pain medication within the timeframe promised, the nurse demonstrates reliability and maintains trust in the nurse–client relationship.
B. Justice: Justice refers to fairness and equal treatment of all clients. Although important in care delivery, it does not specifically address keeping a promise or following through on a commitment to an individual client.
C. Autonomy: Autonomy supports the client’s right to make informed decisions about their care. While requesting pain medication reflects autonomy, the nurse’s action of returning on time aligns more directly with honoring a commitment.
D. Beneficence: Beneficence involves acting in the client’s best interest by promoting comfort and well-being. Administering pain medication supports beneficence, but the defining ethical principle in this scenario is the nurse’s follow-through on a promise.
Correct Answer is B
Explanation
A. Sleeps 8 to 10 hr per night: Adequate sleep does not increase the risk of injury; in fact, it supports overall health and healing. Sleep patterns are not directly related to bleeding or bruising risk in thrombocytopenia.
B. Uses a firm bristled toothbrush: A firm bristled toothbrush can cause trauma to the gums, leading to bleeding in clients with low platelet counts. Using a soft-bristled toothbrush helps minimize mucosal injury and reduces the risk of hemorrhage.
C. Increased intake of green leafy vegetables: Green leafy vegetables are high in vitamin K, which supports clotting. While dietary vitamin K can influence coagulation, it does not increase injury risk; it may actually help maintain hemostasis.
D. Wears a face mask around others: Wearing a mask reduces the risk of infection, which is important but does not directly affect bleeding or injury risk. Infection prevention is beneficial but not a factor that increases susceptibility to trauma in thrombocytopenia.
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