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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Discuss the benefits of losing weight: This might involve informing the client (knowledge acquisition), but it doesn't necessarily involve a higher-level cognitive process.
B. Encourage the client to share their feelings about dietary habits: Sharing feelings involves the affective domain, which includes emotions and attitudes.
C. Review strategies for losing weight: By reviewing strategies for losing weight, the nurse is helping the client understand and apply information about healthy weight management techniques. This goes beyond memorization and encourages the client to think critically about their weight loss plan.
D. Create a diet for the client: Creating a diet for the client is more of an action plan and could involve multiple domains, but it primarily involves the psychomotor domain when it comes to implementation.
Correct Answer is A
Explanation
A. Assessment: Assessment involves collecting data about the client's condition. Noting the heart rate before administering medication is part of the assessment.
B. Analysis: Analysis involves interpreting the collected data to make decisions about the client's care. While the nurse is analyzing the data (the heart rate), this step follows the initial assessment.
C. Planning: Planning involves setting goals and deciding on interventions based on the assessment and analysis. Holding the medication could be considered part of planning but comes after assessing the heart rate.
D. Evaluation: Evaluation involves determining the effectiveness of interventions. This is not applicable in this situation.
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