A nurse is planning care for a client who has schizophrenia. Which of the following tasks should the nurse delegate to an assistive personnel?

Provide assistance to the client for self-care needs.

Monitor the client for command hallucinations.

Reinforce teaching with the client about coping measures.

Explore the client's feelings.

Answer and Explanation

The Correct Answer is A

Choice A reason: Assisting with self-care needs such as hygiene, dressing, and feeding is within the scope of practice for assistive personnel. These tasks do not require clinical judgment and support the client’s daily functioning.

Choice B reason: Monitoring for command hallucinations requires clinical assessment and interpretation, which must be performed by a licensed nurse. It involves evaluating risk and safety concerns.

Choice C reason: Reinforcing teaching involves understanding the care plan and evaluating client comprehension, which is outside the scope of assistive personnel. It requires nursing knowledge and judgment.

Choice D reason: Exploring a client’s feelings is part of therapeutic communication and requires advanced interpersonal skills and clinical insight. This is a nursing responsibility and cannot be delegated.

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Correct Answer is A

Explanation

Choice A reason: The orientation phase focuses on establishing trust, defining roles, and setting goals collaboratively. This sets the foundation for therapeutic engagement.
Choice B reason: Teaching problem-solving skills is more appropriate during the working phase when interventions are actively implemented.
Choice C reason: Incorporating strategies into daily life occurs later in the relationship, typically during the working or termination phase.
Choice D reason: Evaluation of coping mechanisms is part of the working or termination phase, not the initial orientation phase.

A. Minimize fats and carbohydrates to help achieve a healthy weight. B. Weigh yourself every other day to make sure you're maintaining progress. C. Gastric acid can erode your tooth enamel, leading to cavities. D. Listening to music can help with managing feelings. E. Daily laxative use is a safer alternative to weight loss than exercise.

Correct Answer is ["C","D"]

Explanation

Choice A reason: While reducing excessive fats and refined carbohydrates may support weight management, the statement lacks nuance. Healthy fats and complex carbohydrates are essential for brain function and mood regulation, especially in mental health contexts.

Choice B reason: Frequent weighing may contribute to obsessive behaviors and anxiety, particularly in clients with body image concerns or eating disorders. It is not universally recommended.

Choice C reason: Gastric acid exposure, especially in clients with purging behaviors or GERD, can damage tooth enamel and increase the risk of dental caries. This is a valid and evidence-based educational point.

Choice D reason: Music therapy is a recognized non-pharmacologic intervention that can support emotional regulation, reduce anxiety, and improve mood. It is appropriate for mental health education.

Choice E reason: Daily laxative use is not a safe or recommended method for weight loss. It can lead to electrolyte imbalances, dependency, and gastrointestinal damage.

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A nurse is planning care for a client who has schizophrenia. Which of the following tasks should the nurse delegate to an assistive personnel?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["C","D"]

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