An older postoperative client has the nursing diagnosis, "Impaired mobility related to fear of falling" Which desired outcome best directs the practical nurse's (PN) actions for this client?
Explanation & Rationale
A. The PN will place a gait belt on the client prior to ambulation: Using a gait belt is a nursing intervention that enhances safety during ambulation, but it is not an outcome statement. Desired outcomes should describe the client’s behavior or achievement rather than the nurse’s actions. B. The client will use self-affirmation statements to decrease fear: Positive self-talk may help reduce anxiety, but it does not address the measurable improvement in physical mobility. The goal should reflect functional progress in ambulation, which indicates recovery and confidence. C. The physical therapist will instruct the client in the use of a walker: This describes an interdisciplinary intervention rather than a client-centered outcome. While physical therapy support is important, the desired outcome should focus on what the client is expected to accomplish. D. The client will ambulate with assistance q4 hours: This outcome is specific, measurable, and directly related to the diagnosis of impaired mobility. It demonstrates progress toward overcoming the fear of falling through supported activity and aligns with nursing goals to restore safe mobility.