Which client goal related to hygiene should the nurse include in the care plan for a client with self-care deficits?

• A. The client will request help for all hygiene needs
• B. The client will comb their hair independently
• C. The client will avoid washing their hair
• D. The client will delegate all grooming tasks to a family member

Answer: (B)

The goal for the client to comb their hair independently is appropriate and therapeutic for several reasons. First, encouraging independence in personal hygiene tasks fosters self-esteem and a sense of autonomy, which are crucial for clients with self-care deficits. By setting this goal, the nurse aims to empower the client to take an active role in their own care, promoting motivation to improve their self-care abilities.

Additionally, promoting independent hygiene practices aligns with nursing best practices, which emphasize patient-centered care. Goals should focus on enhancing the client's functional abilities rather than encouraging dependence on others. This goal serves as a realistic target for the client, as it is specific, measurable, achievable, relevant, and time-bound (SMART). Helping the client to achieve this goal can significantly improve their overall well-being and encourage progress in other areas of self-care.

In contrast, goals that involve requesting help for all hygiene needs, avoiding washing hair, or fully delegating grooming tasks to a family member would not encourage the development of independence and would potentially reinforce dependency, undermining the purpose of rehabilitation and self-care improvement.