A nurse is assessing a client recovering from a stroke who expresses difficulty in dressing and fastening clothing. Which is the most appropriate nursing intervention to support the client’s independence in performing this ADL?
Instruct the client to practice buttoning shirts frequently to improve dexterity.
Provide written instructions on dressing independently and offer assistance.
Assist the client with the dressing process to promote proper completion.
Suggest using adaptive clothing with Velcro fasteners to make dressing easier.
The correct answer focuses on fostering the client’s independence by suggesting adaptive clothing with Velcro fasteners. This intervention specifically addresses the client’s difficulty with traditional buttons and enables their active participation in their care. Assisting the client with the dressing process may temporarily resolve the issue but does not prioritize the promotion of independence. While providing written instructions can support learning, it fails to directly address physical limitations. Finally, instructing the client to practice buttoning shirts can encourage skill development but will not offer an immediate solution to the current functional challenge.
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