A nurse initiates a referral to an occupational therapist for a client with care at the facility.
Which of the following client care tasks should the nurse support the need for this referral?
The client requires assistance with completing oral hygiene.
The client expresses the desire to join a support group.
The client reports pain when chewing solid foods.
The client has difficulty ambulating with a walker.
The Correct Answer is A
A. Occupational therapists help clients develop, recover, improve, and maintain the skills needed for daily living and working. Their focus includes activities of daily living (ADLs), which encompass tasks such as grooming, dressing, bathing, and oral hygiene. Therefore, a client requiring assistance with completing oral hygiene would benefit from an occupational therapist’s expertise in promoting independence in daily self-care activities.
B The client expresses the desire to join a support group: This need is better addressed by a social worker or a counselor who can facilitate connections to appropriate support groups and provide psychosocial support.
C The client reports pain when chewing solid foods: This issue may require assessment and intervention by a dentist or a speech therapist (if related to swallowing difficulties), not an occupational therapist.
D The client has difficulty ambulating with a walker: Physical therapists, rather than occupational therapists, typically address issues related to mobility and ambulation aids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order:
Withholding nutrition from a client based solely on a DNR order may not be ethical practice, as nutrition should be provided unless there are specific contraindications or the client has expressed wishes to withhold nutrition.
B. A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min: This is the correct answer. Ethical practice involves providing comfort measures, including appropriate pain management, to clients who are terminally ill and experiencing pain or distress, even if it may inadvertently decrease the respiratory rate.
C. A nurse elects not to care for a client who had an abortion: Refusing to care for a client based on personal beliefs or judgments about their medical history or decisions may not align with ethical practice, as nurses have a professional obligation to provide nonjudgmental care to all clients.
D. A nurse raises all four side rails on the bed of a client who is confused: While ensuring client safety is important, raising all four side rails without considering the client's individual needs and preferences may not be ethical practice, as it may infringe on the client's autonomy and dignity.
Correct Answer is D
Explanation
A. While tracking client information is important for managing patient care during a disaster, the immediate priority during a bioterrorism event is ensuring the safety of personnel through the availability of personal protective equipment.
B. Effective communication is vital during emergencies, but without adequate personal protective equipment, healthcare workers may be at risk of exposure to hazardous biological agents.
C. Mental health support is essential during and after disasters, but in the immediate response to a bioterrorism event, ensuring the availability of personal protective equipment takes precedence in protecting healthcare workers and containing the spread of biological agents.
D. Personal protective equipment (PPE) such as masks, gloves, gowns, and face shields are crucial for safeguarding healthcare workers from exposure to potentially harmful biological agents. During a bioterrorism event, healthcare workers may come into contact with infectious materials, and proper PPE can significantly reduce the risk of transmission.
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