A nurse is preparing a discharge plan for a client recovering from a stroke who has left-sided weakness. Which assessment finding would most strongly indicate the need for a home health aide to assist with daily care at home?
The client expresses concerns about forgetting medications.
The client prefers not to use adaptive equipment provided for mobility.
The client has difficulty navigating stairs due to left-sided weakness.
The client reports difficulty performing tasks such as bathing or toileting.
The correct answer is that the client is unable to perform basic activities of daily living (ADLs), such as bathing, dressing, or toileting, due to physical limitations. These tasks are fundamental to the client’s independence and safety at home. If the client cannot perform these tasks, they would require assistance to prevent injury and maintain hygiene. The other answers may describe challenges but do not directly indicate an inability to manage basic care needs. For example, inability to safely navigate stairs is important but may be mitigated with modifications rather than daily help, and forgetfulness, while concerning for medication adherence, does not immediately indicate a need for assistance with personal care.
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