A home health nurse is visiting a client who has a spinal cord injury. Which of the following findings should indicate to the nurse that the client's caregiver is experiencing role strain?

Choice A reason: Modifications for activities of daily living are important for rehabilitation but are not specifically related to secondary prevention.

Choice B reason: Home health visits are part of overall care management but do not directly relate to secondary prevention strategies.

Choice C reason: Ongoing screening for high-risk conditions is a key component of secondary prevention, aiming to identify and manage conditions before they lead to further health issues.

Choice D reason: Support groups provide emotional and social support but are not a direct method of secondary prevention.

Choice A - Shower: The presence of a walk-in shower with a shower chair suggests that the client's needs have been considered, and this setup should not present complications.

Choice B - Flooring: The highly polished wood floors are a significant risk for slipping, especially for someone recovering from knee surgery. This type of flooring can be very slippery, particularly if the client is using assistive devices like crutches or a walker.

Choice C - Home Entrance: The front entrance has two steps, but a ramp has been added, and there is sufficient lighting. This adaptation should make the entrance safe for the client.

Choice D - Inside Walking Pathway: The living room's excessive furniture creating narrow pathways can be problematic for the client's mobility and increases the risk of falls or bumping into furniture, which can be dangerous post-surgery.

Choice E - Rugs: Non-secure rugs throughout the house are a tripping hazard. They can easily cause the client to slip or trip, leading to falls.

Choice F - Inside Lighting: The presence of night lights in the hallway and bathroom suggests that inside lighting is adequate and should not present complications.

Choice G - Home Assistance: The client lives with an adult child who is retired, which implies that there is some level

of home assistance available.

Choice H - Toilet: The toilet is elevated, which is beneficial for someone with knee issues as it reduces the strain on the knees when sitting down or standing up.

Choice I - Bedroom Location: The client’s bedroom being on the first floor is advantageous as it eliminates the need to climb stairs.

Choice J - Handrails: The absence of handrails in the bathroom is a safety concern. Handrails provide support and stability, which are crucial for preventing falls in the bathroom, especially post knee surgery.