In caring for a client with right-sided paresis due to stroke, what action should the nurse take regarding the spouse feeding the client?

Determining why the spouse is not encouraging self-care by the client is a valuable approach because it addresses underlying factors that may be impacting the care process. Encouraging clients to engage in self-feeding, even with assistance, is an important part of rehabilitation, especially for a patient recovering from a stroke. By exploring the spouse's perspective, the nurse can identify barriers—such as the spouse's fears, misconceptions about the client's capabilities, or lack of knowledge about appropriate assistance techniques. This understanding can lead to a more tailored support strategy that promotes the client's independence and dignity while also educating the spouse on how to encourage and facilitate self-care effectively.

Providing motivation for the client to participate in their care enhances their recovery and fosters a sense of autonomy. It also helps to build a supportive environment in which the spouse can feel empowered and capable of helping the client in an appropriately balanced way. Engaging with the spouse in a constructive dialogue allows the nurse to guide the family toward better methods of support, ultimately benefiting the client’s rehabilitation process.