A nurse is planning discharge for several clients.
What is the nurse’s priority action when reviewing information to report to other members of the interprofessional team?
Notify spiritual support personnel about a client who requests a visit.
Request a dietitian consult for a client who asks for information about a vegan diet.
Ask social services to inform a client about community support organizations.
Inform the physical therapist of activity restrictions for a client following a hip arthroplasty.
The Correct Answer is D
Choice A rationale
Notifying spiritual support personnel about a client who requests a visit is an important aspect of holistic care, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice B rationale
Requesting a dietitian consult for a client who asks for information about a vegan diet is important for the client’s nutritional health, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice C rationale
Asking social services to inform a client about community support organizations is a valuable part of discharge planning, but it is not the nurse’s priority action when reviewing information
to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice D rationale
This is the correct answer. Informing the physical therapist of activity restrictions for a client following a hip arthroplasty is the nurse’s priority action when reviewing information to report to other members of the interprofessional team. This information is crucial for the physical therapist to plan appropriate therapy and to ensure the client’s safety during therapy sessions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Requesting a referral for a social worker may be beneficial in some cases, but it is not the most appropriate initial response. The nurse should first seek to understand the client’s feelings and concerns.
Choice B rationale
Discussing the client’s wishes with their provider is important, but it should come after understanding the client’s perspective. The nurse should respect the client’s autonomy and privacy.
Choice C rationale
This is the correct answer. The nurse should ask the client why they do not want to continue treatment. This allows the nurse to understand the client’s perspective, provide emotional support, and ensure that the client is making an informed decision.
Choice D rationale
Instructing the client to change their advance directives first is not the most appropriate initial response. While advance directives are important legal documents that express a client’s wishes for medical treatment, the nurse should first seek to understand the client’s feelings and concerns.
Correct Answer is A
Explanation
The correct answer is Choice A
Choice A rationale: The statement "I know that everything will be better soon" can indicate a risk for suicide as it may reflect a sense of hopelessness and a belief that death is the only solution to their suffering. This requires immediate attention.
Choice B rationale: Expressing a desire to maintain control over decision-making does not necessarily indicate a risk for suicide. It reflects a concern about autonomy and independence, which is common among individuals with chronic illnesses.
Choice C rationale: Relying more on a partner for support suggests that the client is seeking help and building a support system. This does not indicate a risk for suicide but rather a positive coping mechanism to manage their condition.
Choice D rationale: Fear of experiencing pain near the end is a common concern for individuals with terminal illnesses. While it indicates anxiety about the future, it does not necessarily suggest a risk for suicide. Addressing pain management can help alleviate this fear.
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