You are taking care of an older female adult with severe cognitive impairments. She is unable to tell you when she needs to urinate and, as a result, is often incontinent. What do you realize she is experiencing?

Choice A reason: Empowering older adults to manage chronic illness is a way of promoting self-care and autonomy, but it is not a specific example of leadership in the care of older people.

Choice B reason: Coordinating members of the health care team is a way of demonstrating leadership in the care of older people, as it involves communication, collaboration, and delegation of tasks among different professionals and disciplines.

Choice C reason: Facilitating access to elder care programs is a way of providing resources and support for older people, but it is not a direct example of leadership in the care of older people.

Choice D reason: Assessing older adults effectively is a way of ensuring quality and safety in the care of older people, but it is not a unique example of leadership in the care of older people.

Choice A reason: Call for someone to bring the sign is not the most important intervention, as it does not address the immediate safety needs of the client. The sign is only a visual reminder of the fall risk, but it does not prevent the client from getting out of bed without assistance.

Choice B reason: Ensure he can reach his personal items is not the most important intervention, as it does not address the potential reasons for the client to get out of bed. The personal items may not include the items that the client needs, such as a phone, a book, or a snack.

Choice C reason: Instruct the client to use the call bell for help is the most important intervention, as it can prevent the client from falling and injuring themselves. The call bell is a device that allows the client to communicate with the nurse and request for help when needed. The nurse should educate the client about the importance of using the call bell and the risks of getting out of bed without assistance.

Choice D reason: Provide a urinal and drinking water is not the most important intervention, as it does not address the possible causes of the client's fall. The client may not need to use the urinal or drink water at the moment, or they may have other needs that are not met by these items.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the most important intervention for the nurse to implement to prevent this event.