The nurse is delegating care for a client with a stroke who has dysphagia. Which task is appropriate to assign to the unlicensed assistive personnel (UAP)?

Delegation to unlicensed assistive personnel requires understanding the scope of practice regarding stable vs unstable clients. Knowledge of the nursing process, specifically the difference between assessment or teaching and implementation of standard safety tasks, is required for this decision. Choice A rationale Teaching is a core nursing responsibility that requires specialized knowledge and clinical judgment. UAPs cannot perform initial or formal education on therapeutic techniques like the chin tuck, as they are not trained to evaluate the effectiveness of teaching. Choice B rationale Positioning a client upright and providing supervision during meals are standard safety tasks within the UAP scope of practice. This intervention supports safe swallowing while allowing the UAP to assist the client in a stable, repetitive manner. Choice C rationale Evaluation is the final step of the nursing process and must be performed by a registered nurse. Identifying signs of aspiration requires clinical observation and interpretation of physiological data, which exceeds the training and role of the UAP. Choice D rationale Assessment of swallowing ability is a complex task that requires clinical expertise and judgment. The registered nurse must perform the initial and ongoing assessments to determine the client's risk level and the safety of the current feeding plan..