Having the client help himself as much as possible-rationale: when moving up in bed, the clients assistance will reduce strain on the nurse. the nurse may have to adjust the bed to a higher position, so it isnt possible to always keep the bed in a low position. however, the low position is preferred unless the clients medical condition contraindicates it. if the client folds his arms, he cant help pull or push himself up in the bed.client needs category: safe, effective care environmentclient needs subcategory: safety and infection controlcognitive level: comprehensionreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 775.