The nurse continues to care for the client.

Exhibits

For each assessment finding, click to specify if the finding is consistent with psychosis or mania. Each finding may support more than one diagnosis.

Rationale:

A. You should not delegate this task because it requires nursing judgment: Weighing clients is a routine, non-invasive task that does not involve clinical decision-making. It does not require nursing judgment and is appropriate for delegation if the AP is competent.

B. You can delegate this task to an AP for new clients before performing a nursing assessment: Initial assessments must be performed by a licensed nurse. Weighing can be part of the assessment, but the nurse should first evaluate the client to determine whether delegation is appropriate.

C. You can delegate this task if the AP has been trained to use our scales: Delegation depends on the AP’s competence and familiarity with facility equipment. If trained, the AP can safely and accurately weigh clients, freeing the nurse for tasks requiring professional judgment.

D. You should not delegate this task because you have the capability to obtain clients weights: Delegation decisions should be based on scope of practice and task appropriateness, not whether the nurse is physically able to perform the task. Efficient delegation supports safe and effective care delivery.

Rationale:

A. Eat a light snack before bedtime: A light snack can prevent hunger from interfering with sleep and promote relaxation. Complex carbohydrates or small amounts of protein may help induce sleep without causing gastrointestinal discomfort.

B. Perform exercises prior to bedtime: Vigorous physical activity before bed can stimulate the body and make it harder to fall asleep. Exercise is beneficial when done earlier in the day, ideally several hours before bedtime.

C. Stay in bed at least 1 hr if unable to fall asleep: Staying in bed while unable to sleep can create negative associations with the bed and worsen insomnia. It's more effective to get up, engage in a quiet activity, and return to bed once sleepy.

D. Take a 1-hr nap during the day: Long daytime naps can reduce sleep pressure at night and interfere with falling or staying asleep. If needed, naps should be limited to 20–30 minutes and taken early in the day.