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 B

Explanation

A. Requesting another family member to assist might provide some temporary relief but does not address the larger issue of ensuring that the client’s ongoing care needs are met. It also assumes that other family members are available and willing to help, which might not be the case.
B. The case manager is responsible for coordinating care transitions and can assess the client’s needs and the family's situation comprehensively. The case manager can explore various options, such as arranging for home health care, palliative care services, or placement in a long-term care facility if necessary.
C. Delaying discharge might temporarily postpone the issue but does not address the fundamental problem of the partner’s inability to continue providing care. It might give the family more time to prepare, but it does not solve the issue of the client needing a suitable discharge plan.
D. Recommending placement in a long-term care facility might be premature without a thorough evaluation of all potential options. The decision to place the client in a facility should be based on a comprehensive assessment by the case manager and consideration of all available options, including home care services and other support systems.

A. Attach the restraints to the fixed portions of the frame of the client's bed. B. Remove the client's restraints every 2 hr C. Secure the client's restraints with a square knot. D. Allow 1 fingerbreadth between the restraint and the client's wrists.

Correct Answer is D

Explanation

A. Restraints should not be attached to the bed frame. Instead, they should be secured to a movable part of the bed (such as side rails) to prevent injury. Attaching restraints to the bed frame can cause harm to the patient and limit their mobility.
B. While it's essential to assess and reposition restraints regularly, removing them entirely every 2 hours is not recommended unless the patient's condition allows for it. Restraints should be removed and repositioned at least every 2 hours to assess skin integrity, circulation, and comfort. However, they should not be removed entirely unless necessary.
C. Square knots are not recommended for restraining patients because they can be difficult to untie quickly in case of an emergency. Quick-release buckles or Velcro fasteners are safer options.
D. Allowing 1 fingerbreadth between the restraint and the client's wrists ensures proper circulation and prevents excessive tightness. Properly fitting restraints prevent injury while maintaining patient safety.

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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

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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