A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke.
Which of the following nursing interventions promotes client independence?
Explain that the tray is here and place the client's hands on the tray.
Assign an assistive personnel to feed the client.
Ask the client if she would prefer a liquid diet.
Describe to the client the location of the food on the tray.
The Correct Answer is D
The correct answer is D.
Choice A reason: Explaining that the tray is here and placing the client’s hands on the tray is a supportive action but does not promote independence. It may help the client initially find the tray, but it doesn’t guide them in understanding where each item of food is located, which is essential for independent feeding.
Choice B reason: Assigning assistive personnel to feed the client would provide support but would not promote independence. It could lead to increased dependence on others for feeding and may reduce the client’s motivation to perform self-feeding.
Choice C reason: Asking the client if they would prefer a liquid diet is an important consideration for clients with swallowing difficulties, which can be a complication of a stroke. However, this does not directly promote independence in feeding if the client is capable of eating solid foods.
Choice D reason: Describing the location of the food on the tray helps the client understand where each item is placed, akin to a clock face orientation. This empowers the client to feed themselves independently, which is crucial for self-esteem and rehabilitation progress.
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