Which of the following statements made by ancillary staff reflects the most informed knowledge regarding the benefit of having a client assist with his or her own activities of daily living (ADLs) to that client's activity tolerance?
1. "The more he does for himself, the more he will be able to do for himself."
2. "He doesn't like washing and dressing himself, but it makes him stronger."
3. "Doing for himself makes him tired, but in the long run he has more energy and strength when he does."
4. "By washing and dressing himself he is building muscle strength that lets him ac-tually walk a little better."
ANS: 4
Muscle tone helps maintain functional positions such as sitting or standing without excess muscle fatigue and is maintained through continual use of muscles. ADLs require muscle action and help maintain muscle tone. When a client is immobile or on prolonged bed rest, activity level, activity tolerance, and muscle tone decrease. The remaining options do not explain the reason for the ad-ditional activity tolerance as does the answer.
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