A nurse is providing care to a group of clients on a medical-surgical unit. For which of the following client needs should the nurse request a referral to a social worker? (Select all that apply.)
A client who has terminal cancer requests hospice care in the home.
A client requests an electric wheelchair for use after discharge.
A client states, "I do not understand how to use a nebulizer."
A client asks about community resources available for older adults.
A client states, "I would like to have my child baptized before surgery."
Correct Answer : A,B,D
Choice A reason: Social workers play a critical role in hospice care coordination. When a client with terminal cancer requests hospice services at home, a social worker is essential in facilitating the transition, arranging services, and supporting emotional and logistical needs. They help navigate insurance, legal documentation, and family dynamics during end-of-life care.
Choice B reason: Social workers assist with discharge planning and durable medical equipment needs. When a client requests an electric wheelchair, the social worker can help assess eligibility, coordinate with insurance providers, and connect the client with community resources or vendors to ensure safe and timely access to mobility aids.
Choice C reason: This concern is best addressed by a respiratory therapist or nurse educator. Difficulty understanding how to use a nebulizer involves clinical instruction and device education, which falls outside the scope of social work. It does not require a social work referral.
Choice D reason: Social workers are trained to connect clients with community-based services. When a client asks about resources for older adults, such as transportation, senior centers, or financial assistance, the social worker can provide tailored referrals and help navigate access to these supports.
Choice E reason: Requests for religious rites such as baptism are typically handled by the hospital chaplain or spiritual care department. While social workers may support spiritual needs broadly, this specific request does not necessitate a social work referral
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason: Burn centers provide highly specialized care for severe burn injuries, including surgical interventions, wound management, and rehabilitation. These services are considered tertiary care due to their complexity and specialization.
Choice B reason: Cardiac rehabilitation involves structured exercise, education, and counseling for patients recovering from heart conditions. It is a specialized service typically provided in tertiary care settings.
Choice C reason: Home health care is classified as secondary or continuing care. It involves routine medical services provided in the patient’s home and does not require the advanced specialization of tertiary care.
Choice D reason: Intensive care units (ICUs) deliver complex and continuous monitoring and treatment for critically ill patients. This level of care is highly specialized and falls under tertiary care.
Choice E reason: Oncology treatment centers provide advanced diagnostic and therapeutic services for cancer patients, including chemotherapy, radiation, and surgical oncology. These are hallmark examples of tertiary care.
Correct Answer is D
Explanation
Choice A reason: The population under age 40 increasing does not directly contribute to nursing shortages. In fact, a younger population may increase the pool of potential nursing students, not reduce it.
Choice B reason: Life expectancy has generally increased, not decreased. Longer lifespans contribute to higher demand for healthcare services, which in turn exacerbates nursing shortages—not the reverse.
Choice C reason: While enrollment fluctuations can affect workforce supply, recent data from AACN shows that enrollment in nursing programs has increased in some areas. However, faculty shortages and limited clinical placements restrict capacity, not necessarily enrollment itself.
Choice D reason: A significant number of nurses are projected to retire by 2030, contributing to a major workforce gap. This is a well-documented factor in the nursing shortage, as the aging nursing workforce exits the profession faster than new nurses can be trained and hired.
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