A community health nurse is counseling a client who cares for a mentally ill parent. The client states, "I am feeling overwhelmed and exhausted." Which of the following referrals should the nurse make to provide this client with first level support?

Choice A: The Workplace Procedures and Protocols Manual
Reviewing the workplace procedures and protocols manual can provide valuable context about the standard operating procedures and safety measures in place at the factory. However, this information alone does not directly address the specifics of the employee's injury claim. It is more useful for understanding the general safety environment rather than investigating a specific incident.

Choice B: The Occupational Safety and Health Act
The Occupational Safety and Health Act (OSHA) provides guidelines and regulations for workplace safety. While it is important for ensuring compliance with safety standards, it does not contain specific information about individual employee injury claims. The nurse should be familiar with OSHA regulations but needs more detailed information about the specific incident to conduct a thorough investigation.

Choice C: The Client's Medical Record or Chart
This is the correct choice. The client's medical record or chart contains detailed information about the employee's health status, medical history, and the specifics of the injury. Reviewing this information is crucial for understanding the nature and extent of the injury, any pre-existing conditions, and the treatment provided. This data is essential for accurately assessing the validity of the injury claim and determining any potential workplace-related factors.

Choice D: The Client's Attendance Record at Health and Safety Seminars
While the client's attendance record at health and safety seminars can indicate their level of training and awareness of safety protocols, it does not provide direct information about the injury itself. This record can be useful for understanding the employee's knowledge of safety practices but is not sufficient for investigating the specifics of the injury claim.

Choice A Reason:
Assessing the client's wound is a task that requires clinical judgment and expertise, which falls under the scope of practice of a registered nurse (RN) or licensed practical nurse (LPN). Assistive personnel (AP) are not trained or authorized to perform assessments, as these require a higher level of clinical knowledge and decision-making.

Choice B Reason:
Notifying the case manager of the client's wishes for community resources involves communication and coordination of care, which are responsibilities typically handled by an RN or LPN. This task requires understanding the client's overall care plan and the ability to communicate effectively with other healthcare professionals.

Choice C Reason:
Reviewing the client's medications is a task that involves understanding the medications, their purposes, potential side effects, and interactions. This requires clinical knowledge and judgment, which are beyond the scope of practice for AP. Medication review is typically performed by an RN or LPN.

Choice D Reason:
Assisting the client with bathing and oral care is a task that falls within the scope of practice for AP. These activities are part of the basic care tasks that AP are trained to perform. They involve helping the client with daily living activities, which do not require clinical judgment or decision-making.