Which intervention would best support a client who relates a feeling of "loss of control" after having a mild stroke?
a. Explain that such feelings are normal, but that expectations for rehabilitation must be realistic.
b. Encourage the client to perform as many tasks as possible and to participate in de-cision making.
c. Further assess the client's mental status for other signs of denial or psychopathology.
d. Obtain an order for physical and occupa-tional therapy evaluations.
B
Older adults can experience various losses that affect their sense of control over their lives, in-cluding a decrease in physical mobility. The nurse should support the client's self-esteem and increase feelings of competency by encouraging activities that assist in maintaining some degree of control, such as participation in decision making and performing tasks that he or she can manage. Obtaining an order for therapy evaluations is a normal part of the rehabilitation process. The other choices imply that the client's sense of loss is abnormal after a stroke.
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