A patient has contracted to be allowed to walk about outside after meals with staff supervision. When the patient begins to make a habit of asking if it's time to go outside well before meals, the nurse should:
a. provide the patient with a paper of hourly times to be clocked by the patient and initialed by the staff to indicate when it's time to go outside.
b. firmly state to the patient, "15 minutes after you're done eating, someone will come to find you so the two of you can go outside.".
c. say, with empathy, to the patient, "It is very difficult to wait patiently for something you really want like going outside.".
d. instruct the patient to stand at the door of the unit after eating each meal.
A
Steps to support patients to be more independent need to be carefully weighed with regard for safety, readiness, and capacity for inner control. By checking the time the outside break is due and allowing the patient to clock the time rather than totally removing independence, the nurse is improving the patient's orientation and socialization skills and reducing the amount of dependence and potentially intrusive behavior by the patient.
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