NBCOT Occupational Therapy Certification Practice Exam

The most appropriate initial action for the therapist in this scenario is to demonstrate how using a shower chair improves safety. This approach directly addresses the client’s existing fear of falling while showering, which is a critical concern for individuals with mobility challenges. A demonstration allows the client to visualize how a shower chair can provide stability and support, making the process of showering safer and more manageable.

By utilizing an interactive method, the therapist can effectively engage the client, alleviate anxiety by showing the practical application of a shower chair, and instill trust in the equipment. This method not only fosters understanding of the chair's benefits but also empowers the client by equipping them with a practical solution to their fear, potentially alleviating risks of falls.

While other options may also contribute to the client’s safety or comfort, they do not directly offer the immediate solution that a demonstration entails. For example, suggesting bathtub bathing could limit the client's preferences and doesn't address the immediate concern. Encouraging the purchase of a shower chair, while beneficial, does not provide the same level of reassurance that a practical demonstration can offer, as it lacks the experiential aspect. Lastly, discussing boosting confidence does not resolve the tangible safety concerns during showering.