A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?

Witness an informed consent for a client who is scheduled for electroconvulsive therapy.

Explain the benefits of light therapy to a client who has depressive disorder.

Discuss the adverse effects of antianxiety medications with a client who has an anxiety disorder.

Participate in solitary activities with a client who has mania.

Answer and Explanation

The Correct Answer is D

Choice A reason: Witnessing an informed consent is a legal process that typically requires a licensed nurse or healthcare provider to ensure that the client fully understands the procedure and its risks. It is not appropriate to delegate this task to assistive personnel.

Choice B reason: Explaining the benefits of light therapy involves providing health education, which should be done by a licensed nurse or healthcare provider who has the necessary knowledge and training to ensure accurate information is conveyed.

Choice C reason: Discussing the adverse effects of medications is part of medication education and should be conducted by a licensed nurse or healthcare provider. Assistive personnel are not trained to provide this level of detailed medical information.

Choice D reason: Participating in solitary activities does not require clinical judgment and can be safely delegated to assistive personnel. This task involves engaging the client in activities that can help manage their mania and provide a therapeutic environment.

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Correct Answer is A

Explanation

Choice A reason: Engaging in stressful activities before bedtime can increase alertness and make it difficult to fall asleep. The nurse's recommendation to avoid stress before sleep is in line with good sleep hygiene practices that promote relaxation and readiness for sleep.

Choice B reason: Exercising too close to bedtime can be stimulating and may hinder the ability to fall asleep. It is generally recommended to finish exercising at least 3 hours before bedtime to allow the body to wind down.

Choice C reason: Taking long naps, especially in the afternoon, can disrupt nighttime sleep patterns. For individuals with insomnia, it is better to avoid naps or limit them to early in the day and for short durations.

Choice D reason: Watching television in bed can negatively impact sleep due to the light from the screen and the content, which can be stimulating. It is recommended to keep the bedroom environment conducive to sleep, which means no screens before bedtime.

A. A client who has conversion disorder B. A client who has mild anxiety disorder C. A client who has narcissistic personality disorder D. A client who has severe obsessive-compulsive disorder

Correct Answer is D

Explanation

Choice A reason: Conversion disorder involves neurological symptoms like paralysis or blindness that are not explainable by medical evaluation. While these symptoms may mimic sensory impairments, they are psychological in origin and not due to actual sensory deficits.

Choice B reason: Mild anxiety disorder typically does not involve sensory impairments. Anxiety may cause heightened awareness or sensitivity to stimuli but does not result in a loss of sensory function.

Choice C reason: Narcissistic personality disorder is characterized by patterns of grandiosity, need for admiration, and lack of empathy. It does not include sensory impairments as a symptom.

Choice D reason: Clients with severe obsessive-compulsive disorder (OCD) may experience sensory overload due to heightened focus on certain stimuli, leading to stress and anxiety. Assessing for risks related to sensory impairments can help in managing their symptoms and improving their quality of life.

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A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "I have been having trouble sleeping for the last several months." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?

Correct Answer is D

Explanation

A nurse is assessing a client who has been receiving electroconvulsive therapy (ECT). Which of the following findings indicates the treatment is effective?

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