Management of Care Practice Question

Question

The nurse is caring for a client with an advance directive and is focused on referrals scenario 11. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Delegate the clinical assessment and nursing judgment to assistive personnel.
3. C. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
4. D. Connect clients to therapy, social work, nutrition, or home health based on needs.

Correct Answer

D. Connect clients to therapy, social work, nutrition, or home health based on needs.

Explanation

The priority action for referrals is to connect clients to therapy, social work, nutrition, or home health based on needs. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: hard
• Domain: Management of Care
• Objective: referrals

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