A new graduate licensed practical/vocational nurse is working in a rehabilitation center and is caring for an older adult client who is recovering from a stroke

Question

The health care team consists of the licensed practical/vocational nurse, a clinical nurse specialist in geriatrics, a social worker, a physical therapist, and occupational therapist, a speech pathologist, a psychologist, and a rehabilitation physician. The nurse notes that the client stated she feels a little blue and wanted the drapes pulled and to be left alone. The client refuses to participate in rehab activities today. The client's family shared that they are worried about the costs of the rehab because the Medicare limit has been met. Which action is best?
A) Contact the rehab physician about the recent changes and receive orders to help the client with her problems.
B) Discuss all of the findings during the daily rounds with the entire team for a multidisciplinary approach.
C) Discuss the financial concerns that the family has with the social worker, so the client and family can focus on rehab.
D) Discuss the findings with the clinical nurse specialist and the psychologist because the client is exhibiting signs of depression, and intervention is needed right away.

Answer 1

Ans: B
Feedback:
The main purpose of a multidisciplinary health care team is to provide the client with the best possible care using a team approach, so daily rounds are a means to discuss assessment findings and explore the best interventions to provide. The team meeting is the most efficient way to tackle any problems. The client is exhibiting symptoms of depression, which is common after a stroke, or a chronic illness, but there is no immediate threat of suicide present, so contacting the psychologist and clinical nurse specialist for immediate measures is not necessary.