The nurse is planning care of a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of highest priority?
A) Provide instruction on blood-thinning medication.
B) Praise client when using adaptive equipment.
C) Include client in planning of care and setting of goals.
D) Assess client for ability to ambulate independently.
C
Feedback:
The client in a rehabilitation setting has moved to the recovery phase. The highest priority is to include the client in the rehabilitation plan. Tailoring the rehabilitation plan to meet the needs of the client can promote optimal participation by the client in the rehabilitative process. The other options are appropriate in certain situations but not the highest priority.
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