A nurse in an adult day health care center is assessing a client who was referred to the facility after having a stroke that affected their right upper and lower extremities. Which of the following findings should the nurse identify as a need for referral to occupational therapy?
Weight loss of 2.3 kg (5 lb) in 1 month
Coughing after drinking liquids
Unable to recognize pictures
Difficulty gripping objects
The Correct Answer is D
Choice A reason: Weight loss may be a concern but does not directly indicate a need for occupational therapy.
Choice B reason: Coughing after drinking liquids could indicate a swallowing disorder, which would typically require a referral to a speech therapist, not an occupational therapist.
Choice C reason: Inability to recognize pictures might suggest cognitive issues, which could require a neuropsychologist or speech therapist rather than an occupational therapist.
Choice D reason: Difficulty gripping objects is a common impairment after a stroke that affects motor skills, making it a clear indication for occupational therapy to help regain those skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hospice services do not necessarily end when the client dies. Bereavement support and counseling are often provided to the family after the client's death.
Choice B reason: Hospice care indeed encourages family participation in the client's care. It focuses on comfort and quality of life and includes emotional and spiritual support for both the patient and their loved ones.
Choice C reason: Hospice care typically does not provide life-extending interventions. The focus is on palliative care,
which aims to relieve symptoms and improve quality of life rather than extending it.
Choice D reason: Hospice programs are generally designed for clients who are expected to have 6 months or fewer to live, not 9 months. This is based on the patient's physician's and hospice medical director's clinical judgment.
Correct Answer is A
Explanation
Choice A reason: Gonorrhea is a nationally notifiable infectious disease, which means it is required by law to be reported to the CDC. This helps in tracking the incidence and prevalence of this sexually transmitted infection and aids in public health efforts to control and prevent its spread.
Choice B reason: Bacterial vaginosis is not a nationally notifiable disease, and while it is a common infection, it does not require reporting to the CDC.
Choice C reason: Human papillomavirus (HPV) is the most common sexually transmitted infection, but it is not a nationally notifiable disease and does not require reporting to the CDC.
Choice D reason: Genital herpes simplex virus is not a nationally notifiable disease and does not require reporting to the CDC.
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