Which intervention would be LEAST appropriate when supporting hospitalized young adults?

• A. Make choices for them; young adults are not able to reason or have their own perspectives
• B. Foster normalcy through supporting routines and being as flexible as possible
• C. Assess the patient's ability to maintain academic or work performance and attendance at school or work during chemotherapy treatments
• D. Utilize appropriate humor in interactions

Answer: (A)

Promoting autonomy and maintaining a sense of normalcy are essential for hospitalized young adults. Assuming they cannot reason or have their own perspectives and making decisions for them disregards their developing independence and can erode trust and engagement in care. Respecting their ability to participate in choices supports their dignity and helps them cope with illness.

Fostering normalcy by supporting routines and staying as flexible as possible helps them feel more like their usual selves, which can reduce stress and improve adherence to treatment. Checking whether they can continue academic or work obligations during chemotherapy acknowledges their future goals and identity beyond the illness, guiding tailored support. Using appropriate humor, when respectful and well-timed, can ease anxiety and build rapport, contributing to a more positive hospital experience.

So, the intervention that minimizes the patient’s autonomy and perspective is the least appropriate, while the others promote engagement, continuity of life roles, and emotional resilience.