A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to an assistive personnel?

Choice A reason: Notifying staff of the increased fall rate is not the first action that the nurse should take, as it does not address the root cause of the problem or the possible solutions. The nurse should inform the staff of the fall rate after conducting a thorough analysis and developing a plan of action.

Choice B reason: Identifying clients who are at risk for falls is the first action that the nurse should take, as it helps to determine the scope and severity of the problem and the factors that contribute to it. The nurse should use a valid and reliable tool to assess the fall risk of each client and document the findings.

Choice C reason: Reviewing current literature regarding client falls is not the first action that the nurse should take, as it does not provide specific information about the facility's situation or the client's needs. The nurse should review the literature after identifying the clients who are at risk for falls and before implementing a fall prevention plan.

Choice D reason: Implementing a fall prevention plan is not the first action that the nurse should take, as it requires evidence-based interventions and evaluation methods that are tailored to the facility's context and the client's characteristics. The nurse should implement a fall prevention plan after reviewing the current literature and obtaining approval from the stakeholders.

Choice A reason: This is not the correct choice because this response is inaccurate and misleading. Respite services do not provide medical care or treatment for the client, but rather temporary relief and support for the family caregivers. The nurse should not give false hope or unrealistic expectations to the client's partner.

Choice B reason: This is not the correct choice because this response is incomplete and vague. Respite services may include some practical assistance such as meal delivery or housekeeping, but their main purpose is to provide emotional and social support for the family caregivers. The nurse should explain how respite services can help the client's partner cope with the stress and challenges of caregiving.

Choice C reason: This is the correct choice because this response is accurate and clear. Respite services can provide the client's partner with some time off from their caregiving duties, which can help them recharge their energy, attend to their own needs, and maintain their well-being. The nurse should emphasize the benefits of respite services for the client's partner and their relationship with the client.

Choice D reason: This is not the correct choice because this response is confusing and irrelevant. Respite services do not offer psychological interventions for the client or the family, but rather companionship and support. The nurse should not imply that the client's partner needs therapy or counseling, which may be perceived as judgmental or insensitive.