A nurse is conducting an initial home health assessment for an older adult who has a new diagnosis of moderate Alzheimer's disorder and lives with their caregiver. For which of the following findings should the nurse obtain a referral to a physical therapist?
The client has gained 4.5 kg (10 lb) over 8 weeks.
The caregiver reports that recently the client is incontinent of urine during the day.
The client is unable to climb the stairs to their bedroom.
The caregiver reports the client needs assistance with activities of daily living such as bathing
The Correct Answer is C
A. The client has gained 4.5 kg (10 lb) over 8 weeks: Weight gain may indicate changes in diet, activity, or medication, but it does not directly suggest a need for physical therapy. A nutritionist or primary care provider might be more appropriate for follow-up.
B. The caregiver reports that recently the client is incontinent of urine during the day:
Urinary incontinence in clients with Alzheimer's is typically addressed by primary care or urology. It may be related to cognitive decline rather than physical impairment, so physical therapy is not the priority referral.
C. The client is unable to climb the stairs to their bedroom: This mobility limitation increases the risk for falls and functional decline. A physical therapist can assess strength, balance, and coordination, and develop a mobility plan or recommend assistive devices or home modifications.
D. The caregiver reports the client needs assistance with activities of daily living such as bathing: This indicates a need for occupational therapy to enhance independence in daily tasks. While physical therapy may support mobility, ADL support is better addressed by an occupational therapist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decreased nausea: Ginger is well-documented for its antiemetic properties. It helps relieve various types of nausea, including that caused by motion sickness, pregnancy, chemotherapy, and postoperative recovery by acting on the gastrointestinal tract and central nervous system.
B. Decreased manifestations of menopause: While some herbal remedies like black cohosh or soy are used for menopausal symptoms, ginger is not commonly used for hot flashes or hormonal regulation, so this would not be an appropriate indicator of its effectiveness.
C. Decreased manifestations of allergy: There is limited evidence suggesting that ginger plays a significant role in alleviating allergic symptoms. It is not considered a primary alternative therapy for allergy treatment.
D. Decreased eczema: Ginger does not have recognized therapeutic value for eczema. Other topical treatments or dietary interventions are more commonly used for managing this skin condition.
Correct Answer is D
Explanation
A. Working with clients to develop services promotes direct client care and community health but is more aligned with client or community advocacy rather than legislative advocacy. It focuses on service delivery rather than influencing laws or policies.
B. Translating medical terminology into basic terms improves communication and client understanding, which supports client advocacy and education but does not involve efforts to change legislation or policy.
C. Building partnerships between providers, practitioners, and clients fosters collaboration and coordinated care. While important, this activity is more related to community or organizational advocacy rather than legislative advocacy.
D. Working with nursing organizations to facilitate health policy directly involves efforts to influence laws, regulations, or policies affecting healthcare. Legislative advocacy includes activities such as lobbying, policy development, and working with lawmakers to shape healthcare legislation.
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