Final answer:
The best nursing intervention for an elderly client who refuses ADLs is to structure these activities to mirror their previous home routines, promoting familiarity and comfort which can encourage participation and foster independence.
Step-by-step explanation:
The elderly client's refusal to participate in activities of daily living (ADLs) at a nursing home can be a complex issue, but the best nursing intervention to help the client be as independent as possible is D- Structure the activities of daily living to mirror previous home routines.
This approach promotes a sense of familiarity and comfort, which can encourage participation and foster independence. Respecting the client's past habits and lifestyle can lead to a smoother transition and less resistance to the necessary care routines within the nursing home environment. It is also beneficial to involve the client in decisions related to their care whenever possible, as this respects their autonomy and can help mitigate feelings of helplessness.
Understanding the client's background, preferences, and capabilities is essential in tailoring ADLs to their needs. Furthermore, by establishing routines that are similar to those the client had at home, the nursing staff can recognize the significance of individualized care and the impact of psychological well-being on physical health.