. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

The client needs to have someone come in to help her bathe at home.

The client needs to have someone bring oxygen tanks and equipment to her home.

The client needs to arrange financial resources to purchase equipment.

The client needs to have range-of-motion exercises to assist with ambulation.

Answer and Explanation

The Correct Answer is C

A. While the need for assistance with bathing may indicate the need for home health services, it is not specifically a reason to involve a social worker.

B. Arranging for oxygen tanks and equipment typically involves nursing and respiratory therapy rather than social work.

C. The need to arrange financial resources for purchasing equipment indicates a financial or logistical concern that is within the social worker's scope of practice to address, making this the most appropriate reason for the referral.

D. Range-of-motion exercises pertain more to physical therapy and nursing care, not social work.

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Correct Answer is D

Explanation

A. The Good Samaritan Act provides legal protection to individuals who assist those who are injured or in danger but does not specifically apply to emergency medical procedures performed by healthcare providers.

B. Nonmaleficence refers to the ethical principle of doing no harm, which supports the need for treatment but does not provide the legal basis for proceeding without consent.

C. A living will outlines a person's wishes regarding medical treatment in the event they become unable to communicate, but it does not specifically grant permission for emergency surgery when the individual is unconscious.

D. Implied consent is applicable in emergency situations where the patient is unable to give consent, and it is assumed that they would consent to necessary life-saving procedures, such as emergency surgery.

A. The client expresses the desire to join a support group. B. The client requires assistance with completing oral hygiene. C. The client has difficulty ambulating with a walker. D. The client reports pain when chewing solid foods.

Correct Answer is B

Explanation

A. Expressing a desire to join a support group indicates a need for emotional support but does not specifically require occupational therapy.

B. Requiring assistance with completing oral hygiene indicates that the client may benefit from occupational therapy to improve fine motor skills and daily living activities, making this the most relevant finding for the referral.

C. Difficulty ambulating with a walker may require physical therapy rather than occupational therapy, as it focuses on mobility rather than daily tasks.

D. Reporting pain when chewing solid foods suggests a need for dietary modifications or possibly speech therapy, but it does not directly indicate a need for occupational therapy.

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