A nurse on a medical-surgical unit is planning care for a group of clients. Which of the following clients should the nurse plan to refer to a social worker?

Rationale: A. A client who is 2 days postoperative following an appendectomy: This client’s needs are primarily focused on recovery from surgery, including pain management, wound care, and mobility. A social worker referral is not typically required unless there are psychosocial or discharge planning concerns beyond routine postoperative care. B. A client who is scheduled for a knee arthroplasty: Preoperative education and physical therapy planning are the main priorities for this client. A referral to a social worker is not necessary unless there are additional needs, such as arranging home assistance or financial concerns for postoperative care. C. A client who has dysphagia following a cerebrovascular accident: This client requires evaluation by speech-language pathology for swallowing therapy and nutrition management. While interdisciplinary care is important, a social worker referral is not automatically indicated unless psychosocial or discharge support is needed. D. A client who is asking questions about their insurance coverage: Social workers assist clients with navigating insurance, understanding benefits, and connecting to financial resources or community services. This client’s concerns regarding coverage fall squarely within the social worker’s scope of practice and should be referred to them for appropriate guidance.