# Drag each hospitalized-client need to the interprofessional team member who should be consulted first. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=568942&lang=en > language: en > subject: Collaboration with Multidisciplinary Team > category: MOC ## Question Drag each hospitalized-client need to the interprofessional team member who should be consulted first. **1.** New unilateral weakness has resolved, but the client still needs gait and stair-safety evaluation before discharge Select a category Pharmacist Physical therapist Speech-language pathologist Social worker or case manager **2.** The family must learn safe bed-to-chair transfers and whether a walker fits the home Select a category Pharmacist Physical therapist Speech-language pathologist Social worker or case manager **3.** The client coughs and has a wet voice after small sips of water Select a category Pharmacist Physical therapist Speech-language pathologist Social worker or case manager **4.** A post-stroke client has new difficulty expressing needs and understanding complex instructions Select a category Pharmacist Physical therapist Speech-language pathologist Social worker or case manager **5.** The admission list contains duplicate anticoagulants from two prescribers Select a category Pharmacist Physical therapist Speech-language pathologist Social worker or case manager **6.** The client cannot explain how to time a new medicine around tube feedings Select a category Pharmacist Physical therapist Speech-language pathologist Social worker or case manager **7.** The client cannot afford prescribed supplies and has no transportation to follow-up Select a category Pharmacist Physical therapist Speech-language pathologist Social worker or case manager **8.** The caregiver reports unstable housing and cannot provide the required daily wound care Select a category Pharmacist Physical therapist Speech-language pathologist Social worker or case manager ## Explanation Physical therapists evaluate mobility, gait, transfers, and equipment needs. Speech-language pathologists evaluate swallowing and communication. Pharmacists perform medication reconciliation and address interactions or administration barriers. Social workers or case managers address coverage, transportation, housing, caregiver resources, and service coordination. ## In-depth explanation Quick answer Match the need to the discipline with the most direct expertise: mobility to PT, swallowing to SLP, medication problems to pharmacy, and resource barriers to social work or case management. Why this is correct Collaboration is not task dumping. The RN identifies the problem, initiates the appropriate consultation, communicates relevant findings, and follows whether the recommendation was implemented. A referral is strongest when the clinical question is specific. NCLEX decision rule Choose the team member whose licensed expertise addresses the dominant barrier. Escalate urgent physiologic deterioration first; consultation does not replace immediate nursing action.References 1NCSBN 2026 NCLEX-RN Test PlanManagement of Care: collaboration and referrals 2AHRQ TeamSTEPPS handoff tool ## Clinical scenario Interprofessional care conference The RN remains responsible for nursing assessment and follow-through. Select the discipline whose specialized assessment or intervention most directly addresses each need; local referral procedures still apply. ## Key concepts - **Interprofessional Collaboration** — Coordinated work among professions in which responsibilities and information are shared to meet a client's goals. - **Closed-Loop Referral** — A referral with a clear question, acknowledged receipt, completed evaluation, and communicated follow-up. - **Care Coordination** — Deliberate organization of people, information, and services so a client's care plan is carried out across disciplines and settings. ## Related questions - [A nurse is taking a verbal medication order during a code blue from the resident physician…](https://mymerci.kr/pages/nclex_q.php?qn_id=368265&lang=en) - [A 78-year-old woman with stage IV lung adenocarcinoma and multiple bone metastases reports…](https://mymerci.kr/pages/nclex_q.php?qn_id=372704&lang=en) - [A nurse is preparing discharge plans for several patients on the medical-surgical unit. 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