A client has weakness of the left arm and hand after a stroke. Which is the best nursing intervention to help maintain the client's self-esteem during feeding?
1. Delegate feeding to minimize the amount of food spilled.
2. Encourage the client with self-feeding as much as possible.
3. Ensure that all foods come mechanically altered to take by straw.
4. Collaborate with speech therapy to improve client communication.
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2. The nurse maintains and enhances the client's self-esteem by encouraging the client with positive reinforcement, acknowledging the client's progress with self-feeding, and engaging the client in conversation during feeding.
1. Feeding the client may reinforce feelings of inadequacy, worthlessness, or embar-rassment.
3. Taking food by straw may be contraindicated and increase the risk of aspiration, depending on the client's neuromuscular coordination for chewing and swallowing.
4. Ensuring effective client communication is expected nursing care for any client in any setting; however, speech therapy is not indicated.
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