A nurse is caring for a client.
For which of the following interprofessional team members should the nurse anticipate a provider's referral?
(Select all that apply).
Case manager
Respiratory therapist
Diabetes nurse educator
Physical therapist
Occupational therapist
Enterostomal therapy nurse
Correct Answer : A,B,D,E
A. A case manager coordinates and manages the overall care of the client, particularly when there are multiple healthcare needs or transitions in care. Given that the client has just experienced a CVA, the case manager could be crucial in coordinating care, arranging for additional services, and ensuring continuity of care, especially since the client lives alone.
B. The client is experiencing wheezing in the upper lobes of the lungs and is receiving supplemental oxygen. A respiratory therapist would be instrumental in evaluating and managing the client's respiratory status, including optimizing oxygen therapy and addressing any issues related to asthma or lung function.
C. There is no mention of diabetes in the client's history or current symptoms. The focus of the client's care is on managing the effects of the CVA and respiratory issues. Therefore, a referral to a diabetes nurse educator is not indicated based on the provided information.
D. The client has flaccid extremities with decreased muscle tone and strength following the CVA. A physical therapist would be essential for assessing and providing therapy to improve mobility, strength, and function in the affected extremities. This referral is appropriate for addressing the physical impairments resulting from the CVA.
E. The client is having difficulty with self-feeding due to decreased muscle tone and strength, which impacts daily activities. An occupational therapist can help with adaptive techniques and strategies for self-care tasks, such as feeding, and provide interventions to improve the client’s ability to perform daily activities independently. This referral is appropriate for addressing functional challenges related to the CVA.
F. An enterostomal therapy nurse specializes in wound care, ostomy management, and incontinence care. There is no indication in the provided information that the client has any issues related to wounds, ostomies, or incontinence. Therefore, a referral to an enterostomal therapy nurse is not indicated based on the current information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A nurse at the competent stage typically has 2-3 years of experience and is able to handle more complex situations. Competent nurses have developed a level of efficiency and are able to plan and organize their work more effectively. They usually require less support from mentors and are able to function independently, although they may still seek guidance for complex or unusual cases.
B. Expert nurses have extensive experience (usually more than 5 years) and demonstrate a high level of intuitive understanding and clinical decision-making. They do not require significant support from mentors as they have developed the ability to handle complex and unexpected situations autonomously. Experts often serve as mentors themselves due to their depth of experience.
C. Proficient nurses have a deeper understanding of patient care than competent nurses, often with 3-5 years of experience. They can see situations holistically and are able to make decisions based on a broader context. While they might still seek occasional guidance, they generally require less support compared to novice or advanced beginner nurses.
D. Advanced beginner nurses are typically in the early stages of their career, having recently graduated or gained initial clinical experience. They are characterized by a need for guidance and support as they are still developing their clinical skills and understanding of various situations. They often benefit significantly from mentoring and support to help them build their skills and confidence.
Correct Answer is ["A","B","D"]
Explanation
A. One of the core goals of the Magnet Recognition Program is to recognize and identify healthcare organizations that provide excellent nursing care and achieve superior patient outcomes. This aligns
with the program’s emphasis on distinguishing organizations that exhibit high standards of practice and
innovation in nursing care.
B. The Magnet Recognition Program encourages organizations to share and implement best practices in nursing. This involves promoting evidence-based practices and creating an environment where innovative approaches to care are developed and shared. Thus, disseminating best practices aligns well with the goals of Magnet recognition.
C. While decreasing the length of hospital stays can be a positive outcome of high-quality care, it is not a primary goal of the Magnet Recognition Program. The focus of Magnet is more on improving the overall quality of nursing care and patient outcomes rather than specifically targeting length of stay metrics.
D. Promoting high standards of quality in healthcare settings is a fundamental goal of the Magnet Recognition Program. Magnet-recognized organizations are known for their commitment to delivering exceptional care and improving patient outcomes, which inherently promotes overall quality in healthcare.
E. Prioritizing patient or client needs is a critical component of providing high-quality nursing care. While Magnet recognizes organizations that excel in this area, it is more about the broader commitment to nursing excellence and patient-centered care rather than just the prioritization of client needs alone.
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