The nurse is identifying care goals for a client who is prone to getti

The nurse is identifying care goals for a client who is prone to getting hurt. Which care goal should the nurse select for this client?

1. Assess the client’s mental status.
2. Keep the client dependent on the staff for all care.
3. Make all choices for the client.
4. Remain free from injury.

ANSWER

Correct Answer: 4
Rationale 1: The nurse will need to assess the client’s mental status to help accomplish this goal.
Rationale 2: Keeping the client dependent on the staff for care does not encourage independence.
Rationale 3: Making all choices for the client does not encourage independence.
Rationale 4: The major goal for a client who is at risk for injury is for the client to remain injury-free.