A client who has had a traumatic brain injury is physiologically stable but remains in a coma. Caregivers are participating in a coma stimulation program with this client. Which action is correct for this situation?
1. Provide visual and tactile stimulation concurrently with auditory background.
2. Limit stimulation to a 5- to 10-minute session.
3. Provide continuous auditory stimulation through music tapes.
4. Ensure the client has sleep/rest periods alternating with sensory stimulation.
Correct Answer: 4
Rationale: These coma stimulation programs are a means of providing sensory stimulation to promote brain recovery. Stimulation should be delivered in a quiet environment, should be limited to 30- to 45-minute sessions, and should be done episodically throughout the day, not continuously. Periods of sleep/rest should be alternated with the sensory stimuli.
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