A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?
I need some help planning my meals to maintain my weight
I'm having difficulty climbing the stairs at my house
I'm tired of having pain in my joints all the time
I need assistance with bathing
The Correct Answer is D
The correct answer is: d. I need assistance with bathing
Choice A Reason:
"I need some help planning my meals to maintain my weight" is not an indication for a referral to an occupational therapist. This statement is more relevant to a dietitian, who specializes in nutrition and meal planning. Dietitians can help clients with rheumatoid arthritis maintain a healthy weight, which is important for managing the disease, but this does not fall under the scope of occupational therapy.
Choice B Reason:
"I'm having difficulty climbing the stairs at my house" is not an indication for a referral to an occupational therapist. This statement suggests a need for physical therapy, as physical therapists focus on improving mobility, strength, and balance. They can provide exercises and strategies to help clients navigate stairs and other physical challenges.
Choice C Reason:
"I'm tired of having pain in my joints all the time" is not an indication for a referral to an occupational therapist. This statement is a general complaint about pain, which would be managed by the primary care provider or rheumatologist. They can adjust medications and provide treatments to help manage the pain associated with rheumatoid arthritis.
Choice D Reason:
"I need assistance with bathing" is an indication for a referral to an occupational therapist. Occupational therapists help clients with activities of daily living (ADLs), such as bathing, dressing, and eating. They can provide adaptive equipment and techniques to help clients perform these tasks more independently and safely. This statement indicates a decline in the client's ability to perform ADLs, which is a key reason for referring to an occupational therapist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Asking the provider to delay the client's discharge home for a few more days is not an appropriate action for the nurse to take. This would not address the partner's concerns or the client's needs. It would also increase the risk of hospital-acquired infections and complications for the client.
Choice B reason: Seeking out another family member to assist the client's partner with care is not an appropriate action for the nurse to take. This would not respect the partner's autonomy or the client's wishes. It would also assume that there is another family member who is willing and able to provide care.
Choice C reason: Contacting a case manager to discuss hospice options is the appropriate action for the nurse to take. This would provide the client and the partner with information and support regarding end-of-life care. Hospice care focuses on improving the quality of life and comfort of clients with terminal illnesses and their families.
Choice D reason: Advising the partner to place the client in a long-term care facility is not an appropriate action for the nurse to take. This would not respect the partner's feelings or the client's preferences. It would also imply that the nurse is judging the partner's decision or ability to care for the client.
Correct Answer is D
Explanation
Choice A reason: While it's essential to use a fire extinguisher during a fire emergency, aiming at the top of the flames is not the correct technique. Fire extinguishers should be aimed at the base of the flames to cut off the oxygen supply and extinguish the fire effectively.
Choice B reason: During a fire, moving client care equipment into the hallway is not recommended. In an emergency, the priority is to ensure the safety of patients and staff. Moving equipment might obstruct evacuation routes or delay the evacuation process.
Choice C reason: This choice is incorrect. Placing dry towels at the base of doors is not a recommended action during a fire. It does not effectively prevent smoke or fire from spreading. Instead, use proper fire-rated door seals or close the doors securely to prevent smoke and flames from entering rooms.
Choice D reason: Closing the windows in client rooms is a correct action during a fire. Closed windows help prevent the entry of smoke and flames, reducing the risk to patients and staff. It also helps maintain a safe environment within the room.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today