Question

A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply.)

A. A client who has terminal cancer requests hospice care in her home
B. A client asks about community resources available for older adults
C. A client asks about community resources available for older adults
D. A client requests an electric wheelchair for use after discharge
E. A client states that he does not understand how to use a nebulizer

Answer 1

A social worker referral by a nurse on a medical-surgical unit is ideal for clients requesting home hospice care, inquiring about community resources for older adults, or needing assistance with obtaining an electric wheelchair. Nurses can typically educate patients about device usage like nebulizers, but may refer to social workers for underlying issues.

Step-by-step explanation:

When a nurse is caring for a group of clients on a medical-surgical unit, there are specific situations where a referral to a social worker is appropriate. For clients with terminal illnesses seeking hospice care at home, a social worker can assist with the necessary arrangements and support for the patient and their family. Additionally, clients inquiring about community resources for older adults can benefit from a social worker's knowledge of local programs and services. Moreover, clients who need special medical equipment, such as an electric wheelchair post-discharge, may require the expertise of a social worker to navigate the complexities of insurance, funding, and acquiring the device.

Regarding a client who does not understand how to use medical equipment such as a nebulizer, this educational need is typically within the scope of practice for nurses who can provide comprehensive teaching and reassurance about the device's usage. However, if the situation involves complexities beyond educating the client, such as financial constraints or psychological barriers, a referral to a social worker could be necessary.