What should the nurse do for a client with paraplegia who is resistant to rehabilitation?

Establishing a plan of care with the client that sets attainable goals is crucial for fostering a supportive and collaborative therapeutic relationship. This approach empowers the client, ensuring that they have a voice in their rehabilitation process, which can significantly enhance motivation and engagement. By setting realistic and achievable goals, the nurse aids the client in recognizing progress, which can build self-efficacy and encourage participation.

This client-centered strategy not only respects the autonomy of the individual but also addresses potential psychological barriers by breaking down the rehabilitation process into manageable steps. When clients see that their goals are attainable and within reach, they may be more inclined to participate actively in their recovery process. Establishing these goals together can also help clarify expectations and create a sense of partnership between the nurse and the client, which is essential for effective rehabilitation.

Other options may involve a more authoritarian approach, which can lead to resistance and disengagement, and do not foster the supportive environment necessary for the client to feel empowered and motivated to engage in therapy. Thus, the correct choice promotes collaboration and builds a constructive foundation for rehabilitation efforts.