A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?
I need some help planning my meals to maintain my weight
I'm having difficulty climbing the stairs at my house
I'm tired of having pain in my joints all the time
I need assistance with bathing
The Correct Answer is D
The correct answer is: d. I need assistance with bathing
Choice A Reason:
"I need some help planning my meals to maintain my weight" is not an indication for a referral to an occupational therapist. This statement is more relevant to a dietitian, who specializes in nutrition and meal planning. Dietitians can help clients with rheumatoid arthritis maintain a healthy weight, which is important for managing the disease, but this does not fall under the scope of occupational therapy.
Choice B Reason:
"I'm having difficulty climbing the stairs at my house" is not an indication for a referral to an occupational therapist. This statement suggests a need for physical therapy, as physical therapists focus on improving mobility, strength, and balance. They can provide exercises and strategies to help clients navigate stairs and other physical challenges.
Choice C Reason:
"I'm tired of having pain in my joints all the time" is not an indication for a referral to an occupational therapist. This statement is a general complaint about pain, which would be managed by the primary care provider or rheumatologist. They can adjust medications and provide treatments to help manage the pain associated with rheumatoid arthritis.
Choice D Reason:
"I need assistance with bathing" is an indication for a referral to an occupational therapist. Occupational therapists help clients with activities of daily living (ADLs), such as bathing, dressing, and eating. They can provide adaptive equipment and techniques to help clients perform these tasks more independently and safely. This statement indicates a decline in the client's ability to perform ADLs, which is a key reason for referring to an occupational therapist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A respiratory therapist is a health care professional who can provide education and assistance on the use and maintenance of the nebulizer, but not on the financial aspects of obtaining it. The nurse should collaborate with the respiratory therapist to ensure the parent understands how to administer the nebulized medications to the child.
Choice B reason: A pharmacist is a health care professional who can provide information and advice on the medications prescribed for the child, but not on the financial aspects of obtaining the nebulizer. The nurse should consult with the pharmacist to ensure the parent knows how to store and handle the medications safely.
Choice C reason: A social worker is a health care professional who can provide support and resources to the parent regarding the financial aspects of obtaining the nebulizer. The nurse should refer the parent to the social worker to explore options such as insurance coverage, payment plans, or assistance programs.
Choice D reason: Child protective services is an agency that investigates and intervenes in cases of child abuse or neglect. The nurse should not refer the parent to child protective services, as this could imply that the parent is intentionally harming or neglecting the child, which is not the case. The nurse should respect the parent's rights and dignity, and offer help and guidance.
Correct Answer is C
Explanation
Choice A reason: Documenting the concern in the nurse's notes is not an appropriate action. The nurse's notes are for recording the client's condition and the care provided, not for expressing the nurse's personal issues. This action does not address the problem or ensure the safety of the clients.
Choice B reason: Requesting help from the personnel on the unit is a good action, but not the best one. The nurse should seek assistance and guidance from experienced staff members, but they should also communicate their concern to the nurse manager, who is responsible for making appropriate assignments and providing support and resources.
Choice C reason: Contacting the nurse manager to discuss the situation is the best action. The nurse manager can evaluate the nurse's competency and experience level, and adjust the assignment accordingly. The nurse manager can also provide feedback, education, and supervision to the nurse to enhance their skills and confidence.
Choice D reason: Refusing to accept the assignment is not an appropriate action. The nurse has a professional and ethical obligation to provide care to the clients, unless there is a clear conflict of interest or violation of standards. The nurse should not abandon the clients or the unit without a valid reason.
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