A client with multiple sclerosis (MS)is observed transferring from the bed to a motorized wheelchair and applying splints to the lower extremities before entering the bathroom to perform morning self-care. What could the nurse conclude regarding this observation?
A)The client uses assistive devices to optimize autonomy.
B)The client should be instructed to conduct morning care before applying splints to the lower extremities.
C)The client is dependent on assistive devices.
D)The client should be advised to avoid use of a motorized wheelchair when possible.

Question

Quizplus · Accepted Answer

A)The nurse observed the client independently transfer from the bed to a motorized wheelchair, apply splints, and enter the bathroom to perform morning self-care. This is evidence that the client uses assistive devices to optimize autonomy. The nurse should not conclude that the client is dependent on assistive devices, because this conclusion suggests that the client is not autonomous. Similarly, the nurse should not conclude that the client requires instruction regarding wheelchair avoidance or when to apply splints, because this conclusion does not take the client's preferences into consideration.
B)The nurse observed the client independently transfer from the bed to a motorized wheelchair, apply splints, and enter the bathroom to perform morning self-care. This is evidence that the client uses assistive devices to optimize autonomy. The nurse should not conclude that the client is dependent on assistive devices, because this conclusion suggests that the client is not autonomous. Similarly, the nurse should not conclude that the client requires instruction regarding wheelchair avoidance or when to apply splints, because this conclusion does not take the client's preferences into consideration.
C)The nurse observed the client independently transfer from the bed to a motorized wheelchair, apply splints, and enter the bathroom to perform morning self-care. This is evidence that the client uses assistive devices to optimize autonomy. The nurse should not conclude that the client is dependent on assistive devices, because this conclusion suggests that the client is not autonomous. Similarly, the nurse should not conclude that the client requires instruction regarding wheelchair avoidance or when to apply splints, because this conclusion does not take the client's preferences into consideration.
D)The nurse observed the client independently transfer from the bed to a motorized wheelchair, apply splints, and enter the bathroom to perform morning self-care. This is evidence that the client uses assistive devices to optimize autonomy. The nurse should not conclude that the client is dependent on assistive devices, because this conclusion suggests that the client is not autonomous. Similarly, the nurse should not conclude that the client requires instruction regarding wheelchair avoidance or when to apply splints, because this conclusion does not take the client's preferences into consideration.

A Client with Multiple Sclerosis (MS)is Observed Transferring from the Bed