A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)
Check the position of a client in soft wrist restraints.
Accompany a client who has depression to occupational therapy.
Set limits with a client who has mania.
Sit with a client who has alcohol use disorder and whose last drink was five days ago.
Assess a client who has hypomania for exhaustion.
Correct Answer : A,B,D
Rationale:
A. Check the position of a client in soft wrist restraints is appropriate for an AP as it involves routine monitoring and ensuring the client's safety.
B. Accompany a client who has depression to occupational therapy is a task that can be assigned to an AP, as it involves providing support and ensuring the client's safe arrival to therapy.
C. Set limits with a client who has mania is not appropriate for an AP, as this involves therapeutic communication and behavior management, which requires nursing judgment.
D. Sit with a client who has alcohol use disorder and whose last drink was five days ago can be assigned to an AP as it involves providing a supportive presence and monitoring, but the nurse should assess for withdrawal symptoms.
E. Assess a client who has hypomania for exhaustion is a nursing responsibility that involves evaluation and judgment, making it inappropriate to delegate to an AP.
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Correct Answer is B
Explanation
Rationale:
A. Identifying changes within the family unit can be important but is not the immediate priority for medical stabilization.
B. Gaining weight is a critical goal for clients with anorexia nervosa to address their physical health and nutritional status.
C. Making positive statements about body image is helpful but secondary to the goal of weight gain.
D. Feeling in control of behavior is important for long-term recovery but is not the immediate priority compared to physical health.
Correct Answer is A
Explanation
Rationale:
A. Discovery phase is when depositions are typically taken, as this phase involves gathering evidence and information from parties involved.
B. Decision phase occurs after the trial to determine the verdict.
C. Trial phase involves presenting evidence and arguments, but depositions occur earlier during discovery.
D. Complaint phase involves filing the lawsuit and does not include depositions.