Which of the following referrals should a school nurse initiate when caring for a child with muscular dystrophy who is having difficulty swallowing at lunch?
Occupational therapist
Speech-language therapist
Dietitian
Respiratory therapist
The Correct Answer is B
A school nurse caring for a child with muscular dystrophy who is having difficulty swallowing at lunch should initiate a referral to a speech-language therapist. Swallowing difficulties, or dysphagia, can lead to aspiration and respiratory complications. Speech-language therapists specialize in the evaluation and treatment of dysphagia. Occupational therapists may also work with clients who have dysphagia to help with positioning and adaptive equipment, but their primary focus is on activities of daily living. Dietitians may be consulted for nutritional support, but they are not trained to evaluate or treat dysphagia. Respiratory therapists may be involved in the care of clients with dysphagia who have respiratory complications, but they are not the primary referral for this issue.
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Related Questions
Correct Answer is C
Explanation
HIPAA (Health Insurance Portability and Accountability Act) is a federal law that mandates the privacy and security of a patient's medical records and personal health information. A newly licensed nurse must understand the HIPAA regulations to protect patient's confidentiality and avoid penalties for violating the law. HIPAA rules permit clients to access their medical records and receive copies of their medical information upon request. A client can request copies of medical records through a signed authorization form. HIPAA does not allow the sharing of a client's medical information with unauthorized personnel or third parties, including coworkers and supervisors. Therefore, it is essential to protect clients' medical information and keep computer passwords confidential.
Correct Answer is B
Explanation
B. Interviewing shelter residents to determine the effectiveness of coping behaviors:This is a secondary prevention strategy as it focuses on early identification of stress-related conditions or mental health concerns in disaster survivors. By assessing coping behaviors, the nurse can detect maladaptive responses and intervene early to prevent further mental or physical health complications.
Incorrect:
A. Compiling resources available to transition individuals from shelters to a home:This is a tertiary prevention strategy because it focuses on helping individuals recover and rebuild their lives post-disaster.
C. Publishing a listing of shelter locations in local media sources:
This is a primary prevention strategy as it involves preparedness and prevention. Providing information about shelter locations can help individuals seek immediate refuge during a disaster, reducing exposure to harm.
D. Providing age-appropriate activities for shelter residents:This intervention aligns with tertiary prevention, as it aims to promote emotional recovery and well-being for individuals who have already experienced a disaster. Age-appropriate activities help reduce stress and enhance coping for shelter residents.
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