A nurse is preparing to discharge a client to their home. The client tells the nurse that they are concerned about performing ADLs at home. Which of the following members of the interprofessional team should the nurse consult?
Occupational therapist
Social worker
Risk manager
Physical therapist
The Correct Answer is A
Rationale:
A. An occupational therapist (OT) specializes in helping clients perform activities of daily living (ADLs) such as dressing, bathing, eating, and household tasks. The OT can assess the client’s functional abilities, recommend adaptive equipment, and provide strategies to safely complete tasks at home. This makes the OT the most appropriate team member for concerns about ADLs.
B. A social worker assists with psychosocial support, financial concerns, community resources, and discharge planning, but does not provide direct interventions to improve the client’s ability to perform ADLs.
C. A risk manager focuses on safety and compliance issues within the facility, not individual client functional independence at home.
D. A physical therapist (PT) works to improve mobility, strength, balance, and endurance. While PT can indirectly support ADLs through improving mobility, the OT focuses specifically on task performance and adaptation in the client’s environment, making them the priority for ADL concerns.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Ambulating a postoperative client is within the scope of practice for an AP, as long as the client is stable and the nurse has assessed them first. The AP can assist with mobility under the nurse’s supervision.
B. Performing a simple dressing change may be within the AP’s scope if it is a basic, non-sterile dressing. APs are allowed to perform routine hygiene or dressing tasks that do not require assessment or sterile technique.
C. Measuring urinary output is a routine task that APs can perform. The nurse is responsible for interpreting the measurements, but obtaining and recording output is appropriate delegation.
D. Evaluating the effectiveness of pain medication requires assessment, judgment, and clinical decision-making, which are nursing responsibilities. APs do not have the training or authority to determine if a client’s pain management is adequate or to make decisions about medication administration. This action requires immediate intervention by the nurse.
Correct Answer is A
Explanation
Rationale:
A. A living will is an advance directive that communicates a client’s preferences for medical treatment when they are unable to make decisions for themselves. The client’s statement shows understanding that the living will guides healthcare providers in honoring their wishes regarding life-sustaining treatments and end-of-life care.
B. A living will does not require the provider’s signature to be valid. The client can complete it independently according to state laws, and its purpose is to reflect the client’s wishes, not to obtain provider approval.
C. An attorney is not required to make or modify a living will, although some clients may seek legal advice. Changes can usually be made by the client following proper documentation procedures.
D. The ethics committee does not have the final say over a client’s advance directive. The client’s documented wishes in the living will take precedence, even if family members disagree.
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