A cognitively impaired client spends hours a day involuntarily wringing her hands. Which of the following interventions is the most therapeutic as a means of minimizing this client's risk for fric-tion damage to her hands?
1. Placing thin cotton mitts on her hands
2. Frequently distracting her with conversation
3. Regularly reminding her to stop wringing her hands
4. Getting a prescription to minimize the compulsive behavior
ANS: 1
A friction injury occurs in clients who are restless or in those who have uncontrollable movements or any repetitive skin-against-skin motion. The remaining options are not as likely to be effective with a cognitively impaired client.
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