Question

The nurse is planning care for a client on a ventilator. Which intervention gives the client the best sense of control over his environment? A. Allowing visits with his family and friends B. Keeping the call light within reach C. Explaining procedures before they are done D. Providing pencil and writing paper

Short answer

Answer: The best intervention to provide a sense of control over the environment for a client on a ventilator is providing pencil and writing paper. This allows the client to communicate effectively, express their desires, and participate in their care, leading to increased autonomy and control.

Step-by-step solution

Option A: Allowing visits with his family and friends

Allowing visits with family and friends can provide emotional support and contribute to the patient's psychological well-being. However, this intervention may not directly give the client a sense of control over his environment. #Step 2: Analyze option B#

Option B: Keeping the call light within reach

Keeping the call light within reach allows the client to call for help whenever they need assistance. This intervention gives the patient a sense of control over their environment, as they know they can get assistance when needed. #Step 3: Analyze option C#

Option C: Explaining procedures before they are done

Explaining procedures before they are done helps the client understand the procedures and their purposes. It might make the patient feel more involved in their care, but it still doesn't provide direct control over their environment. #Step 4: Analyze option D#

Option D: Providing pencil and writing paper

Providing pencil and writing paper allows the client to communicate their needs and preferences, especially if they are unable to speak due to the ventilator. This intervention gives the patient a more direct sense of control over their environment, as it helps them express their desires and participate in their care. #Step 5: Choose the best option#

Best intervention for sense of control

After analyzing all the options, Option D: Providing pencil and writing paper is the best intervention to give a client on a ventilator a sense of control over their environment. This is because it enables the patient to communicate effectively, express their desires, and participate in their care, leading to increased autonomy and control.