A community health nurse is teaching a group of clients about available resources to assist with recovery following a stroke.
Which of the following resources should the nurse recommend for clients who are experiencing dysphagia?
Physical therapist.
Speech-language pathologist.
Occupational therapist.
Restorative aide.
The Correct Answer is B
Speech-language pathologists are professionals who specialize in treating communication and swallowing disorders. Dysphagia is a term that means “difficulty swallowing” and can result in aspiration which occurs when food or liquids go into the windpipe and lungs 1. A speech-language pathologist can help clients with dysphagia by evaluating their swallowing function and developing a treatment plan to improve their ability to swallow safely.
Choice A is not the correct answer because physical therapists specialize in helping people improve their movement and manage pain.
Choice C is not the correct answer because occupational therapists help people develop, recover, or maintain daily living skills.
Choice D is not the correct answer because restorative aides assist with rehabilitation and maintenance of physical function but do not specialize in treating dysphagia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
State health departments are responsible for voluntarily reporting cases of Lyme disease to the Centers for Disease Control and Prevention (CDC) 1.
Choice B is incorrect because while hospital infection control departments may report cases of infectious diseases to state health departments, it is ultimately the state health department that reports cases to the CDC.
Choice D is incorrect because the Office of the Surgeon General is not responsible for reporting cases of Lyme disease to the CDC.
Correct Answer is D
Explanation
People living with HIV/AIDS have a much higher risk of suicide than the general population1.Some of the risk factors for suicidal ideation, suicide attempts and suicide deaths in this group are depression, advanced disease, neurological changes, stigma, poor social support, negative life events, physical pain and fear of rejection.
Based on these risk factors, the response by the client that indicates a higher risk for suicide isd. “I am afraid of experiencing pain near the end.”This response suggests that the client has a low perception of their physical health, a fear of losing control and a pessimistic outlook on their future.These are signs of hopelessness, which is a strong predictor of suicide.
The other responses do not necessarily indicate a high risk for suicide, although they may reflect some challenges that the client is facing. For example, response a. may indicate a desire for autonomy and dignity, response b. may indicate a coping strategy or denial, and response c. may indicate a source of emotional support or dependency. However, these responses do not imply that the client is thinking about harming themselves or ending their life.
Therefore, the home health nurse should assess the client’s level of hopelessness, suicidal ideation and suicide plan, and provide appropriate interventions and referrals to prevent a possible suicide attempt. The nurse should also monitor the client’s mood, pain, medication adherence and social support, and offer education, counseling and resources to improve the client’s quality of life.
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