An older adult client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which action by the nurse may assist this client?
A) Remind the client that physical strength will grow weaker at home until a nursing home is required.
B) Suggest the client move in with adult children.
C) Discuss with the physician and determine that the client is unable to make decisions and must be admitted to a nursing home immediately.
D) Recommend a personal care assistant to help with activities of daily living and self-care.
Answer: D
The nurse needs to help strengthen the client's self-esteem. To best do this, the nurse should recommend a personal care assistant to help with activities of daily living and self-care. Suggesting that the client move in with children or be admitted to a nursing home does not strengthen the client's feelings of self-worth or a healthy self-concept. Having the physician determine that the client is unable to make decisions and admitting the client to a nursing home is inappropriate.
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