An older adult client with Alzheimer's disease is admitted to a medical-surgical unit for treatment of a urinary tract infection. In the late afternoon, the client becomes increasingly restless, paces the hallway, and repeatedly attempts to leave the unit, stating, "I need to catch the bus to pick up my children." Which of the following interventions should the practical nurse (PN) implement? Select all that apply.
- Walk alongside the client while asking open-ended questions about their children.Cevap
- Provide the client with a safe, repetitive motor task, such as folding washcloths.Cevap
- Maintain a well-lit, clutter-free environment in the areas where the client is pacing.Cevap
- DApply a soft lap belt to secure the client in a chair and prevent wandering.
- EVerbally reorient the client by insisting that their children are already grown adults.
- FProvide reassurance by telling the client that there is absolutely no reason to worry about the children.
Cevap
The correct interventions are to walk alongside the client while asking about their children, provide a safe repetitive motor task, and maintain a well-lit, clutter-free environment.
For an agitated client with dementia, the least restrictive non-pharmacological interventions must be utilized first. Pacing alongside the client prevents physical confrontation and promotes a calming presence. Using validation therapy by asking about their children addresses their underlying anxiety without sparking an argument. Providing a simple, repetitive task like folding washcloths redirects their energy into a safe, purposeful activity. Finally, maintaining a clutter-free and well-lit environment ensures the client's physical safety while they are wandering.
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Non-Pharmacological Behavioral Interventions for Dementia