Which strategy should the practical nurse implement when assisting an older client with self-care deficits?

• A. Give adequate time for completion of activities
• B. Instruct in the use of assistive devices such as a button hook and sock assist
• C. Modify activities of daily living to client's abilities such as sitting to brush teeth
• D. Plan time schedule, daily activities, and staffing according to the client's functional ability

Answer: (D)

Coordinating care to match the older client’s functional ability is key when supporting self-care deficits. Planning the schedule, daily activities, and staffing around what the client can do and what level of support they need creates a structured environment that promotes independence while keeping safety and energy conservation in mind. This approach makes it more likely that self-care tasks are completed efficiently and with appropriate help, reduces fatigue and frustration, and helps the nurse anticipate needs throughout the day. While giving adequate time, teaching assistive devices, and modifying activities are useful tools, they work best when integrated into a comprehensive plan centered on the client’s abilities and routines.