Question

The nurse is caring for an older adult client who is receiving rehabilitation following an ischemic stroke. A review of the client's electronic health record reveals that the client usually defers their self-care to family members or members of the care team. What should the nurse include as an initial goal when planning this client's subsequent care?

The client will participate in a life skills program. The client will demonstrate independent self-care. The nurse will delegate the client's care to a unlicensed assistive personnel (UAP). The client's family will collaboratively manage the client's care.

Answers

GPT-4o mini
When planning the care of an older adult client who has had an ischemic stroke and tends to defer their self-care to others, the initial goal should focus on promoting the client's independence and encouraging active participation in their own care.

Therefore, the most appropriate initial goal from the options provided is:

**The client will demonstrate independent self-care.**

This goal emphasizes empowering the client to take active steps toward self-care, which is crucial in rehabilitation following a stroke. By focusing on independence, the nurse can help the client regain confidence and skills that may have been affected by the stroke. Participation in a life skills program can be a part of this goal, but the primary aim should be to ensure that the client demonstrates independence in self-care tasks.

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