A nurse on a medical-surgical unit has received a report on four clients. Which of the following clients should the nurse assign to the RN?

Choice A rationale
Avoiding eye contact to prevent confusion is incorrect. Eye contact is an important aspect of effective communication and helps to establish a connection with the client. Avoiding eye contact can make the client feel ignored or unimportant, which can hinder understanding and trust.
Choice B rationale
Speaking quickly to maintain the client’s attention is incorrect. Clients with cognitive impairment may have difficulty processing information quickly. Speaking slowly and clearly allows the client more time to understand and respond to the information being communicated.
Choice C rationale
Allowing the client extra time to respond is correct. Clients with cognitive impairment may need additional time to process information and formulate a response. Allowing extra time helps to ensure that the client fully understands the information and can respond appropriately.
Choice D rationale
Using complex sentences to stimulate cognitive function is incorrect. Simple and clear communication is more effective for clients with cognitive impairment. Complex sentences can be confusing and difficult for the client to understand, which can hinder effective communication.

Choice A rationale
The right circumstance refers to the appropriate setting and resources being available for the task to be delegated. It ensures that the situation is suitable for delegation, considering factors such as the patient’s condition and the complexity of the task. However, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Choice B rationale
The right communication involves clear, concise, and complete instructions given to the assistive personnel. It ensures that the delegatee understands the task, the expected outcomes, and any specific instructions or precautions. This is the correct answer because the nurse is demonstrating effective communication during the delegation process.
Choice C rationale
The right supervision refers to the appropriate monitoring and evaluation of the task being performed by the delegatee. It ensures that the nurse provides guidance, support, and feedback as needed. While important, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Choice D rationale
The right task refers to the appropriateness of the task being delegated, ensuring it is within the delegatee’s scope of practice and competency level. It ensures that the task is suitable for delegation. However, this is not the focus of the question, which is about the nurse’s demonstration during delegation.