A nurse is caring for a client with generalized anxiety disorder. Which of the following statements by the client indicates effective coping?

Choice A reason: Transferring a client from bed to wheelchair is within the scope of assistive personnel, as it involves physical assistance and does not require clinical judgment. Delirium may cause confusion, but with proper supervision, assistive personnel can safely perform this task, ensuring the client’s mobility and comfort while adhering to safety protocols.

Choice B reason: Obtaining a medication history from a client in a manic episode requires clinical judgment to interpret responses accurately, as mania can lead to disorganized or unreliable reporting. This task is complex and should be performed by a licensed nurse, not delegated to assistive personnel, to ensure accuracy and patient safety.

Choice C reason: Inserting an NG tube is an invasive procedure requiring specialized training and assessment skills to avoid complications like aspiration or tissue damage. This task is outside the scope of assistive personnel and must be performed by a licensed nurse to ensure proper placement and client safety in acetaminophen toxicity treatment.

Choice D reason: Informing a client about community services involves assessing the client’s understanding and tailoring information, which requires clinical judgment. Schizophrenia may impair comprehension, making this task inappropriate for assistive personnel. A licensed nurse should handle this to ensure effective communication and appropriate resource connection.

Choice A reason: Discussing risks is the provider’s responsibility, not the nurse’s, during informed consent. The nurse’s role is to witness the signature, ensuring the client signed voluntarily. Risks like memory loss or seizures are explained by the provider to ensure informed decision-making.

Choice B reason: The nurse’s signature on the consent form verifies that they witnessed the client’s voluntary signature, confirming the process’s integrity. This legal and ethical step ensures the client was not coerced and understands the procedure, aligning with informed consent standards for ECT.

Choice C reason: Assessing knowledge of alternatives is part of the provider’s role in discussing treatment options. The nurse’s signature only confirms witnessing the consent, not evaluating the client’s understanding of alternatives, which requires clinical judgment beyond the nurse’s consent role.

Choice D reason: Providing information about benefits is the provider’s responsibility during consent discussions. The nurse’s signature indicates they observed the client’s agreement, not that they delivered information about ECT’s efficacy, which is used for severe depression but requires provider explanation.