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 ["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.
Correct Answer is D
Explanation
Choice A reason: Respecting the client's decision and informing the provider is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.
Choice B reason: Explaining the benefits and risks of the procedure is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.
Choice C reason: Suggesting alternative treatments for the condition is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.
Choice D reason: Assessing the client's understanding of the consequences of uterine prolapse and the need for surgery is the first and most appropriate action that the nurse should take. The nurse should determine the client's knowledge, beliefs, and preferences regarding the condition and the surgery, and address any gaps, misconceptions, or concerns. The nurse should also respect the client's autonomy and right to make informed decisions about their health care.
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