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."

Answer and Explanation

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

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Correct Answer is A

Explanation

Choice A reason: This is the correct answer. The Minimum Data Set (MDS) is a standardized assessment tool used in long-term care settings to evaluate residents' physical, psychological, and cognitive functioning. It supports care planning and is essential for regulatory compliance and reimbursement.

Choice B reason: MDS forms are not routinely faxed to providers. Instead, they are electronically submitted to regulatory bodies and used internally for care planning and quality monitoring.

Choice C reason: MDS assessments are not completed monthly by providers. They follow a federally mandated schedule, typically upon admission, quarterly, annually, and when there is a significant change in the resident’s condition.

Choice D reason: While medication data may be included in the broader resident assessment, the MDS itself does not provide a separate analysis of prescribed medications. That function is typically handled through pharmacy reviews and medication reconciliation processes.

A. A client who has a family history of breast cancer is scheduled for a mammogram. B. A client who is asymptomatic is not scheduled for a series of tests. C. A client who has heart failure is scheduled for an echocardiogram. D. A client is scheduled to receive an influenza vaccination.

Correct Answer is A

Explanation

Choice A reason: Secondary prevention focuses on early detection and prompt intervention to prevent progression of disease. Scheduling a mammogram for someone with a family history of breast cancer is a classic example of secondary prevention, as it aims to detect cancer early before symptoms arise.

Choice B reason: Not scheduling tests for an asymptomatic client contradicts the principles of secondary prevention, which often involves screening asymptomatic individuals to catch disease early.

Choice C reason: An echocardiogram for a client with known heart failure is part of tertiary prevention, which involves managing established disease to prevent complications and improve quality of life.

Choice D reason: Administering an influenza vaccine is an example of primary prevention, which aims to prevent disease before it occurs.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with updating the Minimum Data Set (MDS) forms for the residents of a long-term care facility. A nursing colleague asks about the significance of MDS documentation. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A charge nurse is providing an in-service to a group of nurses on the different levels of illness prevention. The nurse should include which of the following as an example of secondary prevention?

Correct Answer is A

Explanation

A nurse is preparing a presentation on the history of nursing. The nurse should include in the presentation that which of the following contributors founded the American Red Cross?

A nurse on a medical-surgical unit is conducting a facility transfer with a client to an inpatient rehabilitation facility following a total hip replacement. Which of the following information should the nurse include in the transfer paperwork?

A nurse is outlining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse identify as tertiary care? (Select all that apply.)

When planning a home discharge for a client who has quadriplegia, the nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse make?

A nurse is educating a newly licensed nurse about restorative health care. Which of the following examples should be included in the discussion? (Select all that apply.)

A nurse looks up information in a client’s medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional practice?

A nurse is explaining the role of regulatory agencies during a staff meeting. Which of the following duties should the nurse recognize as the responsibility of state licensing boards?

A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?