The nurse is working on the step-down unit and receives the shift-to-shift report on four clients. Based on the report information, which client would be the highest priority to assess first?

Choice A reason: Libel refers to written defamation of character. It does not apply to this situation as there are no written statements involved that defame the client.

Choice B reason: Assault involves creating a fear of imminent harmful or offensive contact. In this scenario, the nurse's action of having security apply restraints could be seen as creating an apprehension of physical harm, thereby constituting assault.

Choice C reason: False imprisonment occurs when a person is confined or restrained against their will without legal justification. Applying physical restraints to a competent client who wishes to leave the hospital can be considered false imprisonment.

Choice D reason: Slander refers to spoken defamation of character. Since this situation does not involve spoken statements that defame the client, slander is not applicable.

Choice E reason: Battery involves actual physical contact that is harmful or offensive. Having security apply physical restraints to the client constitutes battery, as it involves unwanted and offensive physical contact.

Choice A reason: Administering tube feedings to a quadriplegic client is a task that typically requires specialized training and knowledge to ensure it is performed safely and correctly. This task is often reserved for licensed nursing personnel due to the potential complications that can arise, such as aspiration or incorrect tube placement. Therefore, it is not appropriate to delegate this task to unlicensed assistive personnel (UAP).

Choice B reason: Assisting with bowel training by placing the client on the bedside commode is an appropriate task to delegate to unlicensed assistive personnel. This task involves providing physical assistance and support to the client, which falls within the scope of practice for UAP. It does not require specialized nursing knowledge or skills, making it suitable for delegation.

Choice C reason: Observing the client demonstrating a self-catheterization technique is a task that requires clinical judgment and assessment skills to ensure the client is performing the procedure correctly and safely. This responsibility is typically within the scope of practice for licensed nurses rather than UAP.

Choice D reason: Teaching Crede's maneuver to a client needing to void involves providing instruction and education on a specific technique to assist with bladder emptying. This teaching role requires specialized knowledge and skills, making it more appropriate for licensed nursing personnel. It is not suitable for delegation to UAP.