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 D

Explanation

A. A DNR prescription is a legally binding document that reflects the client's wishes regarding resuscitation. The consent of the partner or any other individual cannot reverse or override this directive.
B. Initiating chest compressions would be in violation of the DNR order. The DNR order indicates that the client does not want resuscitation efforts to be performed. Respecting the DNR order is crucial, as it reflects the client’s wishes regarding their end-of-life care.
C. While involving social services may be appropriate to provide emotional support and address any family conflicts or concerns, it is not the immediate action needed in this critical situation. The immediate priority is to adhere to the DNR order, which is a legal directive that must be followed.
D. The nurse must follow the DNR order, as it represents the client’s explicit wishes regarding their care
in the event of cardiac arrest. Adhering to the DNR is essential to respect the client’s autonomy and legal rights. The nurse should ensure that all actions are in compliance with the client’s documented wishes and provide support to the partner by explaining the situation and offering appropriate emotional support or referrals.

A. "I will need assistance with bathing." B. "I am tired of having pain in my joints all the time." C. "I need some help planning my meals to maintain my weight”. D. "I'm having difficulty climbing the stairs at my house."

Correct Answer is A

Explanation

A. This statement indicates that the client may have difficulty with activities of daily living (ADLs), such as bathing, due to their rheumatoid arthritis. An occupational therapist can help by providing adaptive techniques or tools to make these tasks easier, thus making this an appropriate referral need.
B. While this statement reflects a common issue for clients with rheumatoid arthritis, it primarily points to a need for pain management and potentially medication adjustments, which are more typically addressed by a rheumatologist or a pain specialist rather than an occupational therapist.
C. This statement is related to nutritional needs and weight management. A dietitian or nutritionist would be the most appropriate professional to help with meal planning and maintaining a healthy weight rather than an occupational therapist.
D. Difficulty with stairs is related to mobility and functional limitations. An occupational therapist can assist by assessing the client’s home environment and recommending modifications or adaptive devices to improve safety and mobility, making this an appropriate reason for referral.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing cardiac arrest and has a do-not-resuscitate (DNR) prescription. The client's partner requests medical intervention. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?

Correct Answer is A

Explanation

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