The patient with a right-sided paralysis from a stroke becomes frustrated with attempting to self-feed. He throws the spoon at the nurse and begins to cry. What nursing actions would be best? (Select all that apply.)
a. Retrieve the spoon and sit quietly for a few seconds.
b. Touch the patient and inquire if he would rather have a high-protein milkshake for his meal.
c. Remind the patient that such behavior is not acceptable.
d. Add an intervention to the NCP for in-creased support with self-feeding.
e. Complete an incident report.
A, B, C, D
An incident report would not be necessary unless the nurse or someone else was injured. All other options are supportive to the rehabilitation of the stroke patient.
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