The nurse identifies the diagnosis Self-Care Deficit related to cognit

The nurse identifies the diagnosis Self-Care Deficit related to cognitive impairment as appropriate for a client. What should the nurse select as an expected outcome for this client?

1. The client will be able to name the staff that works on the day shift.
2. The client will eliminate safety hazards in her environment.
3. The client, with supervision, will brush her teeth.
4. The nurse will stress the importance of adequate fluid intake.

ANSWER

Correct Answer: 3
Rationale 1: Cognitive impairment limits the client’s ability to understand and comprehend; therefore, naming the staff is not within the client’s realm of understanding.
Rationale 2: Cognitive impairment limits the client’s ability to understand and comprehend; therefore, eliminating safety hazards is not within the client’s realm of understanding.
Rationale 3: A client with cognitive impairment would be able to brush her teeth but only with supervision. The client would not voluntarily brush her teeth without prompting from the staff.
Rationale 4: Cognitive impairment limits the client’s ability to understand and comprehend; therefore, stressing adequate fluid intake is not within the client’s realm of understanding.