Question

The spouse of a client who had a cerebrovascular accident (also known as a "brain attack") seems unable to accept the concept that the client must be encouraged to participate in self-care. What is the best response by the nurse?

1. Tell the spouse to let the client do things independently.
2. Allow the spouse to assume total responsibility for the client's care.
3. Explain that the nursing staff has full responsibility for the client's activities.
4. Ask the spouse for assistance in planning those activities most helpful to the client.

Answer 1

The nurse should ask the spouse for assistance in planning self-care activities for the client, encouraging a collaborative and involved role in the recovery process, which is essential for the client’s rehabilitation after a stroke.

Step-by-step explanation:

The best response by the nurse to a spouse struggling to accept the concept that their partner, who had a cerebrovascular accident (commonly known as a stroke), needs to engage in self-care would be option 4: "Ask the spouse for assistance in planning those activities most helpful to the client." This collaborative approach acknowledges the spouse's role in the recovery process, encourages their involvement, and helps tailor care to the client's specific needs. It is vital for the spouse to understand the importance of encouraging independence and participation in self-care for the recovery and rehabilitation of the client. With proper physical, occupational, and speech therapy, individuals recovering from a stroke can relearn functions, highlighting the adaptability of the nervous system. The spouse's involvement is meaningful because chronic stress, as seen in caregivers for Alzheimer's patients, can impact their health negatively, which in turn can affect the care they provide.