A nurse is assessing a client who is postoperative following a left leg below-the-knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist?

"I just don't think I can handle looking at my leg."

"I am worried about taking care of my toddler at home."

"I hope I can adjust to using crutches while I am recovering

"I am not sure how I will pay for all the therapy I will need."

Answer and Explanation

The Correct Answer is B

A.   Feeling discomfort or distress about looking at the amputated leg might indicate the need for psychological support or counseling but doesn't specifically indicate the need for occupational therapy.
B.   Expressing worry about managing childcare responsibilities at home suggests potential difficulty with daily activities, indicating a need for occupational therapy to assess and address these concerns.
C.   Hoping to adjust to using crutches during recovery indicates a concern related to
mobility, which might involve physical therapy but not necessarily occupational therapy.
D.   Expressing concern about affording therapy doesn't specifically indicate a need for occupational therapy; this might relate more to financial counseling or social work support.

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Correct Answer is C

Explanation

A. Instructing the AP to request assistance when unsure about a task is important for future situations, but it does not immediately address the current incorrect transfer, which could pose a risk to the client.
B. Demonstrating the proper client transfer technique for the AP directly addresses the immediate issue, ensuring the client is safely transferred and the AP learns the correct method through observation and practice.
C. Helping the AP assist the client with the transfer ensures the client's safety in the moment, but it does not provide the AP with the knowledge or skills needed to perform the task correctly in the future.
D. Referring the AP to the facility procedure manual is useful for long-term learning, but it does not provide the immediate guidance needed to correct the current unsafe transfer.

A. Case manager B. Occupational therapist C. Nutritional therapist D. Physical therapist E. Mental health counselor

Correct Answer is ["A","C","E"]

Explanation

A. Case manager: Helps coordinate various aspects of the client's care, including appointments, services, and resources.
B. An occupational therapist can help clients with physical or mental disabilities to perform daily activities, but this is not the primary goal for a client who has anorexia nervosa.
C. Nutritional therapist: Assists in developing and implementing a structured and healthy eating plan to address nutritional deficiencies and eating behaviors.
D. A physical therapist can help clients with musculoskeletal or neurological
impairments to improve their mobility and function, but this is not the main concern for a client who has anorexia nervosa.
E. Mental health counselor: Provides psychotherapy and counseling to address the psychological aspects of anorexia nervosa, including body image, self-esteem, and underlying emotional issues.

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A nurse is assessing a client who is postoperative following a left leg below-the-knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regard to this client's care? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is assessing a client who is postoperative following a left leg below-the-knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist?

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