A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

A client who has dysphagia

A client who asks about community resources

A client who has terminal cancer and requests hospice at home

A client who wants a priest to visit while they are in the hospital

Answer and Explanation

The Correct Answer is A

A. A client who has dysphagia: Dysphagia, or difficulty swallowing, is within the scope of practice for speech therapists. They are trained to assess and treat swallowing disorders to ensure safe and effective eating and drinking.
B. A client who asks about community resources: A social worker or case manager would be more appropriate for addressing questions about community resources.
C. A client who has terminal cancer and requests hospice at home: This client should be referred to a hospice care coordinator, not a speech therapist.
D. A client who wants a priest to visit while they are in the hospital: This need should be addressed by the hospital's chaplain service or spiritual care department.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Reapplying a condom catheter for a client with urinary incontinence: This is a routine task that is appropriate for a nursing assistant to perform under supervision.
B. Feeding a stroke client who has difficulty in swallowing: This task requires careful monitoring for aspiration risks and should be performed by a licensed nurse or speech therapist.
C. Completing a sterile dressing change to a pressure ulcer: This task requires sterile technique and should be performed by a licensed nurse.
D. Reinforcing teaching with a client who is learning how to administer insulin: Teaching and reinforcing education should be performed by a licensed nurse.

A. Physical therapist B. The pharmacist C. The case manager D. Occupational therapist

Correct Answer is C

Explanation

A. Physical therapist: The physical therapist does not refer themselves but receives referrals from other team members.
B. The pharmacist: The pharmacist is involved in medication management and does not typically make referrals to physical therapy.
C. The case manager: The case manager coordinates overall patient care and is responsible for making referrals to various services, including physical therapy.
D. Occupational therapist: The occupational therapist provides a different type of therapy focused on daily living skills and would not typically make referrals to a physical therapist.

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A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical surgical unit has received report on four clients. Which of the following clients should the nurse assign to the NA?

Correct Answer is A

Explanation

The medical surgical nurse works with the interdisciplinary team to provide care for a stroke patient. Which of the following team members will be required for referring a physical therapist?

Correct Answer is C

Explanation

The nurse can safely assign which task to an unlicensed assistive personnel (UAP) for a patient who is stable after a myocardial infarction?

The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?

A nurse is providing education to a client. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the education?

The nurse is providing morning care to a client with right arm hemiparesis. Which nursing action demonstrates use of the Self Care Model when planning care?

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?

A nurse is teaching a client who wishes to stop smoking. Which of the following teaching methods uses the affective domain of learning?

A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?