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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: While mentoring can be supportive, it does not directly address the prevention of workplace violence.

Choice B reason: A zero-tolerance policy sets a clear standard and expectation that violence will not be tolerated, which is essential for prevention.

Choice C reason: Social activities may improve morale but do not directly prevent workplace violence.

Choice D reason: Assertive communication training can help in managing conflict but may not be sufficient to prevent violence.

A. Myalgia B. Temperature 38.4° C (101.1° F) C. Decreased level of consciousness D. Vomiting

Correct Answer is C

Explanation

Choice A reason: Myalgia, or muscle pain, is a common symptom of many infections and is not typically a priority over more severe symptoms.

Choice B reason: While a fever is a concern, it is not as immediately threatening as a decreased level of consciousness, which can indicate a more severe infection affecting the central nervous system.

Choice C reason: A decreased level of consciousness can be a sign of severe illness affecting the central nervous system, such as encephalitis or meningitis, which are serious complications of West Nile virus infection.

Choice D reason: Vomiting can be a symptom of West Nile virus infection but is less concerning than neurological symptoms like decreased consciousness.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a program to reduce occurrences of workplace violence. Which of the following should the nurse recognize as the most effective action to prevent workplace violence?

Correct Answer is B

Explanation

A nurse in a clinic is assessing a client who is suspected to have a West Nile virus infection. Which of the following findings should the nurse identify as the priority?

Correct Answer is C

Explanation

A community health nurse is creating a program about STI prevention for adolescents. Which of the following actions should the nurse take first?

A nurse in a community clinic is assessing a client's risk for contracting a sexually transmitted infection (STI). Which of the following actions should the nurse take when obtaining a sexual history?

A school nurse is developing a plan to focus on the primary prevention of communicable diseases. Which of the following actions should the nurse include in the plan?

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A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)

A community health nurse is teaching a group of clients about the treatment for substance use disorders. The nurse should inform the clients that which of the following is the first phase in the treatment?

A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching? (Select all that apply)

A home health nurse is visiting a client who is recovering from a stroke. The client's adult child has taken on the role of caregiver. Which of the following statements indicates they are adapting to their role change?