The daughter of a female client tells the home health nurse that using the bathroom is embarrassing for the client and the client refuses to use a call bell when she needs to get up. Which is the best response by the nurse?

Question

1. Ask the client why she does not use the call bell.
2. Instruct the daughter to remain at the client's side.
3. Tell client that home visits require client cooperation.
4. Discuss call bell alternatives with client and daughter.

Answer 1

4
4. The best method of engaging the client in nursing care is to include the client in planning care. This gives the client some control over the care and helps to make the client feel valued. Including the client in planning alternatives also helps to give the client control and ownership of the plan.
1. Asking a "why" question is not an ideal response because it is confrontational and requires the client to justify feelings.
2. Home visits require the need for skilled nursing care.
3. Remaining with the client is an impractical solution for home care.