Question

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.)

A. Accompany a client who has depression to occupational therapy.
B. Assess a client who has hypomania for exhaustion.
C. Check the position of a client in soft wrist restraints.
D. Set limits with a client who has mania.
E. Sit with a client who has alcohol use disorder and whose last drink was five days ago.

Answer 1

The nurse can assign the AP to accompany a client to occupational therapy, check the position of a client in wrist restraints, and sit with a client with an alcohol use disorder. Tasks involving assessment or require a clinical judgment should be performed by the nurse.

Step-by-step explanation:

When a nurse is planning to assign care activities to assistive personnel (AP), it is important to match tasks with the AP's scope of practice. Assistive personnel can be delegated non-clinical tasks or basic care activities. Among the provided options:

• A. Accompany a client who has depression to occupational therapy. This does not require clinical judgment and can be handled by the AP.
• B. Assess a client who has hypomania for exhaustion. Assessment is a clinical task that should be performed by a nurse.
• C. Check the position of a client in soft wrist restraints. The AP can check the position to ensure safety, but any assessment or judgment of the condition must be done by a nurse.
• D. Set limits with a client who has mania. This requires a higher level of clinical judgment and should be done by a nurse or a licensed mental health professional.
• E. Sit with a client who has alcohol use disorder whose last drink was five days ago. This is a supportive task that can be safely assigned to an AP.

Answer 2

The nurse can assign three activities to the assistive personnel (AP): accompanying a client to occupational therapy, checking the position of a client in soft wrist restraints, and sitting with a client who has alcohol use disorder and has stopped drinking.

Step-by-step explanation:

The nurse can assign the following activities to the assistive personnel (AP):

• Accompany a client who has depression to occupational therapy: The AP can assist in ensuring the client's safety and comfort during the transportation to and from therapy.
• Check the position of a client in soft wrist restraints: The AP can regularly monitor the client's positioning to prevent any discomfort or complications.
• Sit with a client who has alcohol use disorder and whose last drink was five days ago: The AP can provide support and monitor the client's progress during the important initial period of abstinence.

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