The nurse is caring for a client in a long-term care facility. The client has some cognitive impairment that interferes with the ability to independently complete activities of daily living

Question

The nurse has identified Self-Care Deficit as an appropriate nursing diagnosis for this client. Based on this data, which expected outcome is the most appropriate for the nurse to include in the plan of care?
A) The client will be able to name the staff that works on the day shift.
B) The client, with supervision, will brush teeth twice per day.
C) The client will eliminate safety hazards in the environment.
D) The nurse will stress the importance of adequate fluid intake.

Answer 1

Answer: B

A client with cognitive impairment would be able to brush the teeth, but only with supervision. The client would not voluntarily brush the teeth without prompting from the staff. Cognitive impairment limits the client's ability to understand and comprehend; therefore, stressing adequate fluid intake, naming the staff, and eliminating safety hazards are not within the client's realm of understanding.