A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make?
Art therapist
Speech-language pathologist
Social worker
Recreational therapist
The Correct Answer is A
A.
A. Art therapist: Art therapy can provide a nonverbal outlet for expressing feelings and emotions, which can be particularly beneficial for clients with schizophrenia who may struggle with verbal communication.
B. Speech-language pathologist: While speech-language pathologists may assist with communication difficulties, their expertise is more focused on speech and language disorders rather than addressing emotional expression in clients with schizophrenia.
C. Social worker: Social workers provide support and assistance with various psychosocial
issues, but they may not specifically address the client's difficulty expressing feelings through therapeutic interventions like art therapy.
D. Recreational therapist: Recreational therapy focuses on promoting leisure and recreational
activities to improve overall well-being, but it may not directly address the client's difficulty with emotional expression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dependent edema may occur in some cases of pericarditis but is not typically a priority finding compared to chest pain, which can indicate cardiac compromise.
B. A pericardial friction rub is a classic finding in pericarditis but is not necessarily the priority over the chest pain, which requires immediate attention.
C. A paradoxical pulse (pulse amplitude decreasing during inspiration) can occur in pericarditis but is not typically as concerning as substernal chest pain.
D. Substernal chest pain is a common and significant symptom of pericarditis, and assessing and managing the pain is a priority to ensure adequate cardiac function and alleviate discomfort.
Correct Answer is C
Explanation
A. Providing guidance on incentive spirometry requires specialized knowledge and skill that should be provided by a licensed healthcare provider, such as a nurse.
B. A client who had a myocardial infarction 3 days ago and reports chest discomfort requires ongoing assessment and monitoring by a licensed healthcare provider, such as a nurse, due to the potential for cardiac complications.
C. Assisting a client who had a stroke 2 days ago and needs help toileting is a task that can be safely delegated to an assistive personnel, as long as the client's condition is stable and the assistive personnel has been trained in providing basic care.
D. Providing a drink to a client who has awoken following a bronchoscopy may require assessment and monitoring for potential complications, such as aspiration or respiratory distress, which should be provided by a licensed healthcare provider, such as a nurse.
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