Nokea
The client has asked if you would be able to offer any alternative or complementary therapy during their hospitalization. Which of the following would be appropriate to suggest? A. Physical therapy,B. Music therapy, C. Psychiatric therapy, D. Occupational therapy, E. Pet therapy
- A. B and E
- B. A and E
- C. C and D
- D. B and C
Correct Answer: A
Rationale: Music therapy and pet therapy are two forms of alternative or complementary therapy that may improve the client's condition and level of comfort. Physical, occupational, and/or psychiatric therapy are treatments that may be part of the client's care plan, and they are not considered complementary or alternative treatments. Additionally, they usually require a prescription or referral where music therapy and pet therapy typically do not.
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Assessment of a client with a cast should include:
- A. capillary refill, warm toes, no discomfort.
- B. posterior tibial pulses, warm toes.
- C. moist skin essential, pain threshold.
- D. discomfort of the metacarpals.
Correct Answer: A
Rationale: Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain.
Nonpharmacological pain management involves all of the following except:
- A. hypnosis alone.
- B. psychological care, including support groups.
- C. physical and psychological modalities.
- D. pain-reducing drugs only.
Correct Answer: D
Rationale: All physical and psychosocial therapies can be used concurrently with drugs and other modalities to manage pain. These interventions can be carried out by the nurse with the client and family.
The nurse learns at shift report that the immobile client has bilateral foot drop. Which finding during the nurse's assessment supports the presence of foot drop?
- A. The client's great toe is dorsiflexed, and the other toes are fanned out.
- B. The client's feet are unable to be maintained perpendicular to the legs.
- C. The client is unable to move the feet into a position of plantar flexion.
- D. The client is only able to dorsiflex both feet when asked to bend the feet.
Correct Answer: B
Rationale: B: Inability to hold feet perpendicular indicates foot drop. A: This describes a Babinski sign. C: Foot drop involves persistent plantar flexion, not inability to plantar flex. D: Foot drop prevents dorsiflexion.
A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit. Which of the following services is an example of a skilled support service?
- A. shopping for groceries
- B. house cleaning
- C. transportation to physician's visits
- D. medication instruction
Correct Answer: D
Rationale: The only skilled service listed is medication instruction. Grocery shopping, house-cleaning services, and transportation services are all examples of unskilled services offered by volunteer and fee-for-service agencies.
The goals of palliative care include all of the following except:
- A. giving clients with life-threatening illnesses the best quality of life possible.
- B. taking care of the whole person-body, mind, spirit, heart, and soul.
- C. no interventions are needed because the client is near death.
- D. support of needs of the family and client.
Correct Answer: C
Rationale: The goals of palliative care include choices A, B, and D. Choice C is not part of palliative care. All aspects of medical, emotional, social, and spiritual needs of the dying client should be focused on until the end of life.