A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

Rationale:

A. While the client's feelings about never marrying are important, they do not represent an immediate health risk or safety concern.

B. Poorly fitting dentures can affect the client's quality of life and ability to eat, but they do not represent an immediate health risk or safety concern.

C. While having no living family can be a social concern, it does not represent an immediate health risk or safety concern.

D. The client being sedentary throughout most of the day is a risk factor for numerous health problems, including cardiovascular disease, obesity, and decreased mobility. It is also a modifiable risk factor that can be addressed to improve the client's health and quality of life. Encouraging the client to engage in regular physical activity is a priority.

Rationale:

A. Telling the client that it is safe to touch her ostomy may not address the client's concerns or fears.

B. Requesting that someone from the client's family participate in the care may not address the client's concerns or fears.

C. Asking the client to explain her feelings allows the nurse to understand the client's concerns or fears and address them appropriately.

D. Explaining why her participation is important may not address the client's concerns or fears.