A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident driving to my follow-up appointments." The nurse should obtain a referral for which of the following members of the health care team?
Occupational therapist
Physical therapist
Social worker
Primary care provider
The Correct Answer is C
Choice A Reason:
An occupational therapist focuses on helping clients develop or regain skills needed for daily living and working, but transportation coordination is typically not within their primary scope.
Choice B Reason:
Physical therapist is incorrect. While physical therapists play a crucial role in rehabilitation and mobility, their primary focus is on improving physical function, strength, and mobility. They do not typically assess or address driving-related concerns.
Choice C Reason:
A social worker can assist the client in arranging transportation to follow-up appointments. They can connect the client with community resources, transportation services, or support systems that can help with these needs.
Choice D Reason:
Primary care provider is incorrect. While a primary care provider can discuss general health concerns, they may not have the expertise or resources to assess and address specific driving-related issues or provide driving rehabilitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
8 lb is not an appropriate weight gain for this client because it falls below the recommended range.
Choice B Reason:
32 lb is excessive weight gain for a client with a prepregnancy BMI of 30.5. Excessive weight gain during pregnancy can increase the risk of various complications, including gestational diabetes, hypertension, and larger-than-average birth weight.
Choice C Reason:
16 lb is within the recommended range for weight gain during pregnancy for a client with a prepregnancy BMI of 30.5. This falls in the range of approximately 11 to 20 pounds (5 to 9 kilograms) of weight gain.
Choice D Reason:
24 lb is above the upper limit of the recommended weight gain range for a client with a prepregnancy BMI of 30.5. It exceeds the upper limit of approximately 20 pounds (9 kilograms) of weight gain.
Correct Answer is D
Explanation
Choice A Reason:
The client wanting to talk about the diagnosis with nursing staff indicates a desire for communication and support, which may be an expression of hope or a way to cope with the diagnosis.
Choice B Reason:
Requesting a second opinion suggests that the client is actively seeking more information and exploring potential treatment options, which is not indicative of hopelessness.
Choice C Reason:
Having a decreased energy level can be a common physical and emotional response to a terminal illness but does not directly indicate hopelessness on its own. It may reflect the physical and emotional toll of the diagnosis and its treatment.
Choice D Reason:
The client makes funeral arrangements is correct. Making funeral arrangements is often seen as an indication of hopelessness in the context of a recent terminal illness diagnosis. It suggests that the client has accepted the inevitability of their death and is preparing for it. While making arrangements can be a practical and important step, it may also indicate a sense of hopelessness or resignation.
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