A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

Choice A Reason:
Ensuring goals of the facility are being met is correct. Nurse managers are responsible for ensuring that the unit's activities align with the overall goals and objectives of the healthcare facility.
Choice B Reason:
Making decisions on the unit is not necessarily exclusive to the nurse manager role. While nurse managers do have authority to make decisions on the unit, decision-making may also involve collaboration with other members of the healthcare team and may not be solely the responsibility of the nurse manager. Therefore, it's not a specific responsibility that should be included in this context.
Choice C Reason:
Delegating tasks to assistive personnel is correct. Nurse managers delegate tasks to assistive personnel based on their scope of practice and the needs of the unit, ensuring efficient and effective care delivery.
Choice D Reason:
Rewarding and discipline staff as necessary is correct. Nurse managers are responsible for recognizing and rewarding staff for their contributions, as well as addressing performance issues through appropriate disciplinary measures when necessary to maintain a productive work environment.
Choice E Reason:
Monitoring overall functions of the unit is correct. Nurse managers oversee the day-to-day operations of the unit, including staffing, patient care delivery, adherence to policies and procedures, and quality improvement initiatives. They are responsible for ensuring that the unit functions smoothly and efficiently to provide safe and high-quality care to patients.

Choice A Reason:
Reinforcing dietary teaching with a client who has heart disease is incorrect. Dietary teaching typically requires a higher level of assessment and critical thinking, often involving interpretation of lab values, medication interactions, and individualized dietary plans. This task is best suited for a Registered Nurse (RN).
Choice B Reason:
Providing postmortem care for a client who has just died is incorrect. Providing postmortem care involves emotional support, respect for the deceased, and proper handling of the body. This task is within the scope of practice for an RN and may also involve collaboration with other healthcare team members.
Choice C Reason:
Accompanying a client who just had a wound debridement to physical therapy is incorrect. Accompanying a client to physical therapy may involve monitoring the client's condition, providing assistance during the transfer, and communicating with the physical therapist about the client's status. This task typically requires an RN or may be appropriate for an assistive personnel under RN supervision.
Choice D Reason:
Obtaining a urine specimen from an older adult client is correct. Obtaining a urine specimen is a task that falls within the scope of practice for an LPN. It involves performing a routine procedure that requires technical skills but does not involve complex assessment or critical thinking beyond following established protocols.