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?
Physical therapist
Speech pathologist
Occupational therapist
Social worker
The Correct Answer is D
Choice A reason: A physical therapist is not the most appropriate member of the interprofessional health care team to consult for a child who has oppositional defiant disorder. A physical therapist helps clients with physical impairments or disabilities to improve their mobility, function, and quality of life. A child who has oppositional defiant disorder may not have any physical problems that require a physical therapist's intervention.
Choice B reason: A speech pathologist is not the most appropriate member of the interprofessional health care team to consult for a child who has oppositional defiant disorder. A speech pathologist helps clients with communication disorders, such as speech, language, voice, or swallowing problems. A child who has oppositional defiant disorder may not have any communication problems that require a speech pathologist's intervention.
Choice C reason: An occupational therapist is not the most appropriate member of the interprofessional health care team to consult for a child who has oppositional defiant disorder. An occupational therapist helps clients with physical, mental, or developmental challenges to perform daily activities, such as self-care, work, or leisure. A child who has oppositional defiant disorder may not have any occupational problems that require an occupational therapist's intervention.
Choice D reason: A social worker is the most appropriate member of the interprofessional health care team to consult for a child who has oppositional defiant disorder. A social worker helps clients with psychosocial issues, such as family conflicts, behavioral problems, or emotional distress. A child who has oppositional defiant disorder may benefit from a social worker's services, such as counseling, case management, or referral to community resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A unit nurse does not have the authority to prescribe emergency medications during a disaster, unless they have an advanced practice license and a collaborative agreement with a provider. The nurse should follow the facility's protocol and the provider's orders for administering medications.
Choice B reason: A nurse should not communicate with the performance improvement committee during a disaster, as this is not a priority at that time. The nurse should focus on providing safe and effective care to the clients and collaborating with the disaster response team.
Choice C reason: A nurse can recommend clients who are stable for discharge during a disaster, as this can help to free up beds and resources for more critical clients. The nurse should use their clinical judgment and the facility's criteria to identify the clients who are eligible for discharge.
Choice D reason: A unit nurse should not provide information to the media during a disaster, as this can violate the clients' privacy and confidentiality. The nurse should refer any media inquiries to the facility's designated spokesperson or public relations officer.
Correct Answer is D
Explanation
Choice A reason: A multigravida client with preeclampsia receiving misoprostol for induction of labor requires specialized obstetrical care due to the complexity of preeclampsia management, which includes monitoring blood pressure, administering antihypertensive agents, and managing potential complications. Misoprostol is used for cervical ripening and labor induction, which involves close monitoring for uterine activity and fetal well-being.
Choice B reason: A client with gestational diabetes undergoing biweekly nonstress tests would benefit from a nurse with obstetrical expertise. Gestational diabetes management includes monitoring blood glucose levels, dietary modifications, and possibly medication administration. Nonstress tests are performed to assess fetal well-being and require interpretation of fetal heart rate patterns in response to fetal movements.
Choice C reason: A client at 32 weeks of gestation with premature rupture of membranes (PROM) needs specialized obstetrical care. Management of PROM may involve expectant management or immediate delivery based on gestational age and fetal and maternal conditions. The risk of infection and complications necessitates obstetrical expertise.
Choice D reason: A primigravida client who is 1 day postoperative following a Cesarean section with a PCA pump is the most suitable assignment for an RN from a medical-surgical unit. Postoperative care involves monitoring vital signs, incision site, and managing pain with the PCA pump, which is within the scope of medical-surgical nursing practice.
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