A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?

Correct answers: A, C, D

A. Provide a stimulating environment for the client. A structured and stimulating environment can help maintain cognitive function and reduce restlessness or agitation. Activities such as music therapy, puzzles, or light exercise can be beneficial.

C. Limit the number of choices for the client. Too many choices can be overwhelming for a client with Alzheimer's disease, leading to frustration and anxiety. Providing limited and simple choices helps them feel more in control without confusion.

D. Use written signs to assist the client with locating the bathroom. Clients with Alzheimer's may have difficulty recognizing familiar places. Labeling key areas, such as the bathroom or bedroom, with clear written signs or pictures can help them navigate their environment independently.

Incorrect:

B. Use confrontation to manage the client's behavior. Confrontation can lead to increased agitation, anxiety, or aggression in clients with Alzheimer's. Instead, caregivers should use redirection, reassurance, and validation therapy to manage behaviors.

1. 1. 1. Request that the client's family bring the client's eyeglasses from home: This is important to ensure that the client has optimal vision and can see clearly, considering their visual loss. Having their eyeglasses will improve their ability to communicate and understand their surroundings.
      2. Reorient the client often: Reorientation is important for clients who may be disoriented due to their medical condition or unfamiliar environment. Regularly reminding the client of their location, date, and situation can help them maintain orientation.
      3. Acknowledge the client's feelings: Acknowledging and validating the client's feelings can help establish rapport and promote a therapeutic relationship. It shows empathy and understanding, which can contribute to the client's overall well-being.
      4. Provide the client with information about what to expect during their care: Providing information to the client about their care helps promote autonomy and active participation in their own healthcare. It can reduce anxiety and improve the client's overall experience.
      5. Write the full date on the client's whiteboard: Clearly documenting the full date on the client's whiteboard helps the client stay oriented to the current date and time.
      6. Maintain a well-lit environment: Ensuring a well-lit environment is important, especially for clients with visual impairment. Sufficient lighting can enhance the client's ability to see and navigate their surroundings.

It's worth noting that while asking the client's partner to stay with the client as much as possible may be beneficial, it may not always be feasible or within the nurse's control. Additionally, requesting the client to have the same caregivers with every shift may not be possible due to staffing constraints.