The nurse caring for a client with severe rheumatoid arthritis observes the client eating breakfast and determines the client would be more independent if the utensils were easier to hold
The nurse communicates with what team member to meet this need? 1. Physical therapist
2. Physician
3. Registered nurse
4. Occupational therapist
4
Rationale: The occupational therapist provides daily activities to stimulate the mind, and orders adaptive devices to improve the independence of the client. The physical therapist would be useful if the client required exercises to strengthen the hand, but not in obtaining assistive devices. The physician might need to approve the device in some facilities, but the nurse would speak to the occupational therapist to obtain the device and determine the usefulness of a device before talking with the physician. The LPN/LVN can speak with the occupational therapist independently without involving the RN in most facilities.
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The psychiatric–mental health nurse understands that the philosophy underlying humanistic practice means which of the following?
1. Nurses must develop interests related to human beings, wherever they live and whatever their status or culture, in order to work for change within social and political systems. 2. The nurse must be cautious about empowering clients as they may make poor choices that impede their progress. 3. The model for intervention and change requires that the nurse feel comfortable confronting clients when they resist treatment goals. 4. Client and family education about the mental disorder and its treatment must be provided only when clients are stable enough to accept their illness.
A pregnant woman undergoes maternal serum alpha-fetoprotein (MSAFP) testing at 16 to 18 weeks' gestation. Which of the following would the nurse suspect if the woman's level is decreased?
A) Down syndrome B) Sickle-cell anemia C) Cardiac defects D) Open neural tube defect
The nurse is preparing to conduct an assessment of a patient's neurological status. What is the nurse assessing for in this diagram?
1. Kernig sign 2. Babinski reflex 3. Brudzinski sign 4. decorticate posturing
Which fact would suggest to a family that they may want to check building codes and availability of insurance and reconsider the location of their next home?
a. The area where they are looking had a huge neighborhood fire after a lightning strike last year, and people are just starting to rebuild. b. The building lot is beautiful but in an area that has had forest fires and all the houses have burned three times in the past 20 years. c. The empty building lot was in a neighborhood of very nice homes, but the home that used to be there was burned when the smoker fell asleep in his bed. d. The home is very historic with features that cannot be replicated at any price today, but the damage from the fireplace fire is still very visible in the main living area.