A 72-year-old client with type 2 diabetes and mild neuropathy in their lower extremities is being discharged after hospitalization for a foot ulcer. Which action by the nurse best evaluates the client’s ability to manage their care at home?
Ask the client to verbally explain their foot care routine and medication schedule.
Rely on the client’s family member’s assurance that they will assist with wound care and insulin administration.
Observe the client perform foot care and insulin administration before discharge.
Schedule a follow-up telehealth visit to evaluate the client’s progress and understanding of their care regimen.
The correct answer is about directly assessing the client’s self-care ability through observation, which provides insight into their functional capacity and identifies potential challenges. Test questions focusing on direct observation are effective because they highlight practical assessment strategies over assumptions or indirect evaluation. Other answers are incorrect because they just rely on third-party input or client verbal confirmation, which may not accurately reflect actual ability. For example, a verbal description of foot care techniques might not reveal technical inaccuracies, and relying on family member reassurance does not account for the client’s own capacity.
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