A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

The client has four new medications.

The client has extreme difficulty swallowing.

The client is experiencing dysarthria.

The client requires assistance getting dressed.

Answer and Explanation

The Correct Answer is D

Choice A Reason:
The client has four new medications is incorrect. While the addition of new medications may require monitoring and adjustment, it does not directly indicate a need for occupational therapy. Medication management is typically addressed by the healthcare provider or pharmacist.
Choice B Reason:
The client has extreme difficulty swallowing is incorrect. This finding suggests dysphagia, which may require intervention from a speech-language pathologist rather than an occupational therapist. Speech-language pathologists specialize in assessing and treating swallowing difficulties.
Choice C Reason:
The client is experiencing dysarthria is incorrect. Dysarthria refers to difficulty in speaking due to weakness or poor coordination of the muscles used for speech. While it may affect communication and daily activities, it is primarily addressed through speech therapy rather than occupational therapy.
Choice D Reason:
The client requires assistance getting dressed is correct. Difficulty with activities of daily living, such as dressing, bathing, and grooming, is within the scope of occupational therapy. Occupational therapists help clients regain independence in activities of daily living through interventions aimed at improving fine motor skills, coordination, and adaptive strategies. Referring the client to an occupational therapist can help address their dressing needs and promote independence in self-care activities.

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Correct Answer is C

Explanation

Choice A Reason:
Provide volunteers who will run errands for her is incorrect. While respite care services may offer some assistance with errands or tasks, the primary purpose of respite care is to provide temporary relief and support to caregivers by allowing them to take a break from their caregiving responsibilities.
Choice B Reason:
Sending a clinician to assess the safety of leaving her partner alone is incorrect. While ensuring the safety of the client is important, assessing the safety of leaving the partner alone does not directly relate to respite care. Respite care focuses on providing temporary relief to caregivers rather than assessing the client's ability to be left alone.
Choice C Reason:
Allowing her to take time off from attending to her partner is correct. Respite care provides caregivers with the opportunity to take a break from their caregiving responsibilities and attend to their own needs, whether it's for rest, relaxation, or attending to personal matters. It allows caregivers to recharge and prevent burnout.
Choice D Reason:
Helping her arrange transferring her partner to an assisted living facility is incorrect. Respite care is not typically intended to assist with arranging long-term care options such as transferring a partner to an assisted living facility. It focuses on providing short-term relief for caregivers, allowing them to continue providing care in their own homes.

A. "A provider can write a prescription for restraints 'as needed"." B. "I should tie the restraints using a square knot." C. "I need to tie the restraint to the part of the bed frame that moves." D. "I will remove a client's restraints every 4 hours."

Correct Answer is B

Explanation

Choice A Reason:
Restraints should never be prescribed on an "as needed" basis (PRN). Each application of restraints requires a specific and current provider order.
Choice B Reason:
Apply the appropriate restraint, using a clove hitch or a square knot.When applying restraints, using a square knot isessential to ensure that the restraints remain secure but can be easily removed in case of an emergency. A square knot provides a balance between security and quick release when needed.
Choice C Reason:
Restraints should be tied to a non-movable part of the bed frame, not to a part that moves, to prevent injury to the client.
Choice D Reason:
Restraints should be checked and removed more frequently, typically every 2 hours, to assess the client’s skin integrity and circulation, and to provide range-of-motion exercises.

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A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?

Correct Answer is C

Explanation

A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?

A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?

A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newly licensed nurse should the nurse identify as an indication of effective time management?

A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?

A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene?