A nurse is caring for a client on a mental health unit. The nurse needs assistance to perform multiple tasks at this time. For each task, click to specify if the task is best delegated to a licensed practical nurse (LPN) or an assistive personnel (AP).

Choice A reason: Administering IM olanzapine requires knowledge of pharmacology and monitoring for adverse effects. LPNs are licensed to give injections and assess immediate safety, while APs cannot perform invasive medication administration. This addresses urgent safety needs in bipolar mania. Choice B reason: Vital signs after antipsychotic use must be interpreted for hypotension or sedation. LPNs can measure and interpret, while APs only record. Monitoring ensures safe response to medication and meets provider’s request for re-evaluation. Choice C reason: Restraints involve legal and safety standards. LPNs are trained to apply and monitor circulation and skin integrity. APs may assist but cannot initiate. This protects the client and others during acute agitation. Choice D reason: Staying with the client provides observation and reassurance. APs can perform this supportive task without clinical judgment. Continuous presence reduces risk of harm and supports emotional safety. Choice E reason: Offering snacks addresses poor nutrition, a common issue in mania. APs can encourage intake and provide food, meeting basic physiological needs. No advanced judgment is required. Choice F reason: Evaluating therapeutic effects of olanzapine requires clinical judgment. LPNs assess changes in agitation, aggression, and cooperation. APs cannot interpret medication response. This ensures accurate reporting to the provider. Task LPN AP Administer prescribed medication stat ✔ Monitor the client's status and obtain VS ✔ Apply restraints ✔ Stay with the client ✔ Offer a high-calorie snack to the client ✔ Evaluate for therapeutic effects of meds ✔