You are caring for a 45-year-old client who has recently undergone a below-knee amputation following a traumatic accident. During the initial assessment, the client states, 'My spouse works late every day, and I don’t want my sister to help me because I don’t want to feel like a burden.' Which action should the nurse take next to assess the client’s support system effectively?
Ask the client to identify anyone else they feel comfortable involving in their care, such as other family members, friends, or neighbors.
Contact the family to gather their input on how they can assist the client with their recovery.
Schedule a counseling session for the client with the hospital’s social worker to arrange additional outside support services.
Suggest the client accept their sister’s help as the primary caregiver to receive support.
The correct answer emphasizes the importance of gathering more information about all available support options so the care plan can address both physical and emotional needs. Even when a client expresses reluctance, understanding the entirety of their support network helps nurses collaborate and propose realistic solutions. Suggesting the client accept a specific individual (e.g., their sister) as the primary caregiver dismisses their feelings and preferences. Scheduling a counseling session may assist with longer-term planning but is not specifically aimed at assessing immediate support. Contacting the family directly without the client’s consent or input could breach trust and does not prioritize the client’s autonomy.
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NCLEX RN
Psychosocial Integrity
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