Which of the following roles is important for a nurse to undertake while working with a client who has a communication disorder?
Speech therapist.
Legal representative.
Diagnostician.
Advocate.
The Correct Answer is D
Choice A rationale
A speech therapist, or speech-language pathologist, is a specialist who diagnoses and treats communication disorders. Their role involves assessing speech, language, and swallowing difficulties, and implementing therapeutic interventions. A nurse's scope of practice does not include providing specialized speech therapy.
Choice B rationale
A legal representative, such as a lawyer or guardian, is authorized to act on behalf of another person in legal matters. This role is outside the scope of nursing practice, which focuses on providing direct patient care and advocating for health and well-being within ethical and professional guidelines.
Choice C rationale
A diagnostician, typically a physician or other licensed healthcare professional, is responsible for identifying and naming diseases or conditions based on signs, symptoms, and diagnostic tests. While nurses contribute to the diagnostic process through assessment, they do not independently establish medical diagnoses.
Choice D rationale
An advocate is a crucial role for a nurse working with a client who has a communication disorder. The nurse acts as a liaison, ensuring the client's needs are understood, facilitating communication with other healthcare providers, and empowering the client to express themselves and participate in their care decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Resources for group therapy are valuable for long-term management of borderline personality disorder, providing skills training and peer support. However, while important, immediate safety concerns, such as the potential for self-harm, take precedence when a new diagnosis is made.
Choice B rationale
Awareness of potential for self-harm is the priority for a new diagnosis of borderline personality disorder. Individuals with this disorder frequently engage in non-suicidal self-injury or have suicidal ideation due to intense emotional dysregulation and impulsivity, necessitating immediate safety planning and intervention.
Choice C rationale
Medication compliance is important for managing co-occurring conditions or specific symptoms in borderline personality disorder, but pharmacological interventions are often adjunctive to psychotherapy. Addressing immediate safety risks associated with self-harm is paramount before focusing on long-term medication adherence.
Choice D rationale
Information about insurance coverage is practical for accessing treatment, but it is not the immediate priority for a new diagnosis of borderline personality disorder. The most pressing concern for the client and family is understanding the disorder's high-risk behaviors, particularly self-harm, and implementing safety measures.
Correct Answer is B
Explanation
Choice A rationale
Amenorrhea, the absence of menstruation, can occur in individuals with bulimia nervosa, but it is more commonly associated with anorexia nervosa due to severe caloric restriction and low body fat leading to hypothalamic dysfunction and disruption of the pulsatile release of GnRH, impacting ovarian function. While possible, dental decay is a more direct and frequent consequence of recurrent self-induced vomiting.
Choice B rationale
Frequent self-induced vomiting exposes dental enamel to highly acidic gastric contents. This repeated exposure leads to the erosion of tooth enamel, increasing susceptibility to cavities, discoloration, and potential loss of teeth. The acid decalcifies the enamel, a process known as perimylolysis, which is a hallmark sign.
Choice C rationale
Clients with bulimia nervosa often maintain a body weight that is within or even above the normal expected reference range. Unlike anorexia nervosa, bulimia involves cycles of binging and compensatory behaviors, which may not always result in significant weight loss. Therefore, lower than normal expected body weight is not a defining characteristic.
Choice D rationale
Self-induced vomiting causes a significant loss of gastric acid, which primarily contains hydrogen chloride. To compensate for this loss, the kidneys excrete potassium to conserve hydrogen ions, leading to hypokalemia. The normal reference range for potassium is 3.5-5.0 mEq/L. Therefore, hyperkalemia, an elevated potassium level, is not an expected finding.
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