A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident driving to my follow-up appointments." The nurse should obtain a referral for which of the following members of the health care team?
Occupational therapist
Physical therapist
Social worker
Primary care provider
The Correct Answer is C
Choice A Reason:
An occupational therapist focuses on helping clients develop or regain skills needed for daily living and working, but transportation coordination is typically not within their primary scope.
Choice B Reason:
Physical therapist is incorrect. While physical therapists play a crucial role in rehabilitation and mobility, their primary focus is on improving physical function, strength, and mobility. They do not typically assess or address driving-related concerns.
Choice C Reason:
A social worker can assist the client in arranging transportation to follow-up appointments. They can connect the client with community resources, transportation services, or support systems that can help with these needs.
Choice D Reason:
Primary care provider is incorrect. While a primary care provider can discuss general health concerns, they may not have the expertise or resources to assess and address specific driving-related issues or provide driving rehabilitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The client is experiencing palpitations and a sense of impending doom, which may indicate a heightened state of anxiety or a panic attack. Minimizing environmental stimuli can help create a calming and safe environment for the client. By reducing noise, bright lights, and other potentially distressing stimuli, the nurse can create a more soothing atmosphere that may help alleviate the client's anxiety.
While exploring behaviors that have helped to reduce the client's anxiety in the past and explaining to the client that anxiety causes physical manifestations are important actions, they may not provide immediate relief or address the client's immediate distress.
Administering an anti-anxiety medication may be considered if the client's symptoms persist or worsen, but it is not the first action to be taken. The nurse should prioritize non-pharmacological interventions and create a supportive environment before considering medication administration.
Correct Answer is D
Explanation
Choice A Reason:
Clear rhinorrhea (runny nose without any other symptoms) is not a contraindication for receiving the varicella vaccine. Contraindications typically involve more serious medical conditions or situations where the vaccine could be harmful.
Choice B Reason:
Medications for a cardiac anomaly. Taking medications for a cardiac anomaly is not a contraindication for the varicella vaccine. In fact, some children with cardiac anomalies may be at higher risk for complications from chickenpox and may benefit from vaccination.
Choice C Reason:
Two diarrhea stools in the last day. Having a couple of episodes of diarrhea in the last day is not a contraindication for the varicella vaccine. Contraindications usually involve more severe or systemic conditions that can affect the safety and effectiveness of the vaccine.
Choice D Reason:
Chemotherapy treatments is correct. A contraindication for receiving a varicella (chickenpox) immunization is undergoing chemotherapy or other immunosuppressive therapies. Children who are immunocompromised should not receive live vaccines like the varicella vaccine because of the risk of developing the disease due to their weakened immune system.
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