Question

the nurse is preparing to give the client a bath early in the morning. the client states, \i prefer to take my bath at night. it helps me sleep.\ what is the nurses best response?

• tell the client that the health care provider has prescribed sleep medication if necessary.
• inform the client the evening shift will not have time to give baths.
• ask the client for permission to give the bath in the morning.
• work with the evening shift to possibly reschedule.

Explanation:

Analyze client preference and autonomy

Using the Patient Autonomy and Patient-Centered Care Expectations knowledge points, the nurse must respect the client's preferences and promote self-determination in daily care routines. The client expresses a clear preference to bathe at night because it aids sleep, which is a key component of individualized, patient-centered care.

Evaluate the options

• Option 1 ("Tell the client that the health care provider has prescribed sleep medication...") dismisses the client's natural sleep aid preference and unnecessarily promotes pharmacological intervention.
• Option 2 ("Inform the client the evening shift will not have time...") prioritizes institutional scheduling and staff convenience over the client's expressed needs.
• Option 3 ("Ask the client for permission...") ignores the client's preference by trying to push the morning bath anyway.
• Option 4 ("Work with the evening shift to possibly reschedule.") actively collaborates to accommodate the client's preference, demonstrating patient-centered advocacy.

Answer:

• Tell the client that the health care provider has prescribed sleep medication if necessary.
• Inform the client the evening shift will not have time to give baths.
• Ask the client for permission to give the bath in the morning.
• Work with the evening shift to possibly reschedule. (Correct answer)