A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

Social worker

Physical therapist

Occupational therapist

Speech pathologist

Answer and Explanation

The Correct Answer is A

A.   A social worker is highly relevant in the care of a child with ODD. Social workers can provide support in various ways, including counseling for the child and family, facilitating family therapy, and helping to manage and improve social interactions and relationships. They also assist with connecting families to community resources and support services.
B.   Physical therapists focus on improving physical function and mobility through exercises and physical interventions. While physical therapists are crucial for managing physical impairments or developmental delays, they are not usually involved in treating behavioral disorders like ODD.
C.   Occupational therapists work on helping individuals develop, recover, or maintain daily living and work skills. While they might be involved if there are specific functional impairments or difficulties with activities of daily living, they are not the primary professionals for managing behavioral issues related to ODD.
D.   Speech pathologists specialize in diagnosing and treating communication disorders, including speech, language, and swallowing issues. For a child with ODD, unless there are co-occurring speech or language problems, a speech pathologist would not be the primary specialist needed.

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Correct Answer is C

Explanation

A. Filing a grievance report is a formal action and may be premature in this situation. It is typically reserved for more serious or repeated violations. Addressing the issue directly with the involved staff members or through a less formal channel might be more appropriate initially to understand the context and correct the behavior.
B. Discussing the incident with another staff nurse might spread the information further and does not address the issue directly with the involved parties. It’s essential to handle breaches of confidentiality by directly addressing them with those involved or through the proper channels to maintain professional boundaries and ensure confidentiality is respected.
C. Counseling the staff members about the breach of confidentiality is a direct and appropriate action. This approach addresses the issue with the individuals involved and provides an opportunity for education and correction. It helps ensure that the staff understand the importance of maintaining client confidentiality and prevent future breaches.
D. Reporting the actions to the state board of nursing is a serious step and is usually reserved for significant or repeated violations of professional conduct. For a first-time or minor breach, it might be more appropriate to address the issue internally through counseling or reporting it to a supervisor before escalating it to the state board.

A. "Masks are not required when more than 3 ft from a client who requires airborne precautions." B. "A client who has influenza requires airborne precautions." C. "An N95 respirator mask is required when caring for a client who has the measles!" D. "Clients who have varicella should be placed in a positive pressure room."

Correct Answer is C

Explanation

A. Airborne precautions are necessary for preventing the spread of pathogens that are transmitted through tiny airborne droplets, which can remain suspended in the air and travel over longer distances than 3 feet. For clients requiring airborne precautions, such as those with tuberculosis, measles, or varicella, an N95 respirator mask or higher-level protection is required regardless of distance from the client.
B. Influenza is primarily spread through droplet transmission, not airborne transmission. For clients with influenza, droplet precautions are appropriate, which include wearing a surgical mask and practicing good hand hygiene.
C. Measles is transmitted via airborne particles. Therefore, an N95 respirator mask is required when caring for a client with measles to protect against airborne transmission. Airborne precautions, including the use of N95 respirators, are crucial for preventing the spread of measles and other airborne diseases such as tuberculosis.
D. Clients with varicella (chickenpox) require airborne precautions because the varicella virus can spread through airborne particles. However, varicella-infected clients should be placed in a negative pressure room, not a positive pressure room.

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A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

Nursing Test Bank

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