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

Answer and Explanation

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.

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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.

A. Ambulate the client. B. Document the client's urine output. C. Assist the client with completing their food menu. D. Instruct the client on swallowing techniques. E. Obtain the client's vital signs. F. Refer the client to the speech language pathologist

Correct Answer is ["A","B","C","E"]

Explanation

Choice A: Ambulate the client

Ambulating the client is a task that can be safely delegated to assistive personnel. The client has right-sided weakness following a cerebrovascular accident, and assistive personnel can help the client move around safely¹.

Choice B: Document the client's urine output

Documenting the client's urine output is another task that can be delegated to assistive personnel. They are trained to measure and record urine output, which is important for monitoring the client's fluid balance¹.

Choice C: Assist the client with completing their food menu

Assistive personnel can also help the client with completing their food menu. This task does not require clinical judgement and can be safely delegated¹.

Choice D: Instruct the client on swallowing techniques

Instructing the client on swallowing techniques should not be delegated to assistive personnel. This task requires specialized knowledge and skills that are beyond the scope of practice for assistive personnel².

Choice E: Obtain the client's vital signs

Obtaining the client's vital signs is a task that can be delegated to assistive personnel. They are trained to accurately measure and record vital signs, which are crucial for monitoring the client's health status¹.

Choice F: Refer the client to the speech language pathologist

Referring the client to the speech language pathologist is not a task that can be delegated to assistive personnel. This decision requires clinical judgement and should be made by the nurse².

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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 teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is delegating care for a client who has right-sided weakness following a cerebrovascular accident. The client coughs when eating and voice becomes hoarse after swallowing. Select the four tasks the nurse should assign to an assistive personnel.

Correct Answer is ["A","B","C","E"]

Explanation

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