A nurse is caring for a client who is hard of hearing. What action should the nurse take?

Choice A rationale
Recognizing cultural preferences is important, but it does not demonstrate the use of the Self- Care Model. The Self-Care Model focuses on promoting autonomy and self-care.
Choice B rationale
Performing all tasks independently does not align with the Self-Care Model, which emphasizes promoting the client’s ability to care for themselves.
Choice C rationale
Calculating intake and output accurately is important, but it does not demonstrate the use of the Self-Care Model. The Self-Care Model focuses on promoting autonomy and self-care.
Choice D rationale
Encouraging autonomy by allowing the client to feed themselves is the correct answer. This action aligns with the Self-Care Model, which emphasizes promoting the client’s ability to care for themselves.

Choice A rationale
Assuming the client understands and proceeding with the regimen is incorrect. It does not verify the client’s understanding and could lead to non-compliance or errors in medication administration.
Choice B rationale
Repeating the instructions using different words may help, but it does not ensure that the client has understood the information. It is important to verify understanding through the client’s response.
Choice C rationale
Documenting that the client has full understanding of the regimen without verification is incorrect. It assumes understanding without confirmation, which could lead to potential errors.
Choice D rationale
Asking the client to verbally respond to the questions is the best action. It ensures that the client has understood the information and allows the nurse to clarify any misunderstandings.