A client's family insists that the client live with one of the family members permanently because of a shuffling gait, but the client refuses. Which approach is most effective to provide a safe en-vironment while also acting as a client advocate?
a. Teach the client to wear shoes with thin, firm soles.
b. Explain community services for older clients.
c. Help the client check the fit of his sneak-ers.
d. Tell the client that he can do whatever he wants.
A
The shuffling gait is a safety hazard and could cause the client to fall. Shoes with thin, firm soles and moderate traction provide the best stability for him or her. The nurse should avoid having the client who shuffles wear sneakers; the thicker soles can result in tripping because they can stick on the floor during walking. Explaining the community services available will still not provide safety for this client. Telling the client that he or she can do whatever he or she wants ignores the client's specific safety needs.
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