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. "My doctor will need to provide approval for the decisions outlined in my living will." B. "I will wait until I have a serious health problem to sign my advance directives." C. "My durable power of attorney for health care is part of my advance directives." D. "Once I sign my living will, a family member must co-sign it”.

Correct Answer is C

Explanation

A. A living will is a document that outlines a person's wishes regarding medical treatment in the event
they become incapacitated. It does not require the doctor’s approval to be valid. The purpose of a living will is to communicate the individual's preferences, and it is legally binding once completed and signed according to state laws.
B. Advance directives should be completed before a serious health problem arises. They are meant to ensure that an individual’s wishes for medical care are known and can be followed if they become unable to communicate those wishes.
C. A durable power of attorney for health care is indeed part of advance directives. It designates a person (a health care proxy or agent) who will make medical decisions on behalf of the individual if they are unable to do so. Advance directives typically include both a living will and a durable power of attorney for health care, among other documents.
D. A living will does not require a family member to co-sign it. It generally requires the signature of the individual creating the living will and, in some states, witnesses or a notary public.

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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 preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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