The nurse correctly identifies which one of the following referrals as an inappropriate nursing referral?
a. Music therapist
b. Community agencies
c. Adaptive care services
d. Dermatologist
ANS: D
A primary care provider (PCP) may refer a patient to a medical or surgical specialist for further assessment, testing, or treatment. Referrals for specialized services can support and protect patients. Nurses are often instrumental in initiating these types of referrals. For instance, if a patient is experiencing extreme anxiety during chemotherapy treatments, the nurse may set up a referral with the music therapist to assist the patient with relaxation. Nurses initiate referrals for specific dietary requests and adaptive care devices, such as bedside commodes or specialized beds, depending on the patient's unique circumstances. In collaboration with social services, a nurse may refer discharged patients to community agencies that provide in-home assistive services. Some referrals may require the order of a physician or an advanced practice nurse, such as a referral to a dermatologist.
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