Domain 02: Analysis, Interpretation, and PlanningDifficulty 3/5
A client with amyotrophic lateral sclerosis wants to continue eating meals with their family. Which intervention approach is most appropriate?
- AModify and compensate, using adapted utensils, positioning and energy conservation
- BPrevent, by avoiding all self-feeding to reduce the risk of aspiration events
- CCreate and promote, by introducing new leisure occupations instead of meals
- DEstablish and restore, using progressive resistive exercise for the upper limbs
Show answer and rationale
Correct: A. In a progressive condition, adaptation preserves participation as capacity declines. Restorative strengthening cannot alter the disease course, and withdrawing the occupation removes the client's stated priority.
- D — Progressive resistive exercise does not restore function in ALS and may cause fatigue.
- B — Removing the occupation abandons the client's goal rather than supporting it.
- C — Substituting a different occupation ignores what the client asked for.