A patient with rheumatoid arthritis comes into the clinic for a routine check-up. On assessment the nurse notes the patient has lost some of her ability to function since her last office visit
What might be an appropriate intervention for the nurse to make for this patient?
A) Recommend to the physician that the patient be hospitalized.
B) Ask the physician for a referral to an arthritis support group in the community.
C) Make a referral for home health so the patient can be assessed in her own environment.
D) Make referrals for occupational therapy and physical therapy.
Ans: C
Feedback: Appropriate adaptive equipment needed for increased independence is often identified more readily when the nurse sees how the patient functions in the home. There is nothing in the scenario that indicates the patient needs to be hospitalized. The nurse could make the referral to the support group; the physician does not need to do this. The nurse could not make referrals for occupational therapy and physical therapy.
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