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Difficulty: EasySelf-Care

The nurse is planning care to promote independence in self-care for an older adult client. Which nursing action is most appropriate?

  1. Recommending the use of adaptive utensils for a client with joint stiffness to assist with self-feedingAnswer
  2. B
    Delegating the initial evaluation of the client's ability to perform activities of daily living to unlicensed assistive personnel
  3. C
    Reassuring the client that new-onset urinary incontinence and sudden confusion are expected, normal parts of the aging process
  4. D
    Teaching the client that receiving routine immunizations is an example of secondary disease prevention

Answer

Recommending the use of adaptive utensils for a client with joint stiffness to assist with self-feeding
Providing adaptive devices, such as modified utensils, directly supports the client's ability to perform activities of daily living (ADLs) independently, which is a core component of self-care promotion. This intervention safely accommodates physical limitations while maintaining the client's autonomy.

Step-by-Step Solution

1
Analyze the primary goal of the nursing action.
The goal is to safely promote independence in self-care and daily activities for an older adult client.
Understanding the main objective helps eliminate actions that do not support independence, represent unsafe practice, or demonstrate incorrect teaching.
2
Evaluate each option against safety standards and self-care promotion principles.
Using adaptive utensils directly promotes independent self-care. The other options involve unsafe delegation, ignoring acute pathology, or providing factually incorrect health teaching.
Nursing actions must be safe, within the legal scope of practice, and clinically accurate to be considered appropriate.

Key Concept

Promoting Independence in Activities of Daily Living (ADLs)
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Topics

Self-Care

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