What is the best initial approach for a nurse when a postoperative client refuses to eat or engage in rehabilitative activities?

Acknowledging that the client's withdrawal is an expected and necessary part of initial grieving is the best initial approach for several reasons. After surgery, especially when there are significant changes in physical condition or the introduction of a prosthesis, clients may experience a range of emotional responses including grief. This can manifest as refusal to eat or engage in activities, as they may be overwhelmed by their new reality and the loss of their previous functionality or lifestyle.

By recognizing and validating the client's feelings of withdrawal, the nurse creates a supportive environment that fosters trust and open communication. This recognition is crucial in the early stages of recovery, as it allows the nurse to address the emotional needs of the client first, rather than immediately pushing for physical recovery through activity or eating. Meeting the client where they are emotionally can pave the way for subsequent discussions about rehabilitation and the importance of returning to daily activities, ensuring that the client feels heard and understood in their experience.

This approach can help build rapport and encourage the client, which may eventually lead to increased willingness to engage in interventions aimed at their recovery.