A nurse is assessing a young adult client who has a new diagnosis of Idiopathic Juvenile arthritis. The client states. "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify that the client is using which of the following defense mechanisms?

From the given information, the nurse should include the following interventions in the plan of care for the client with dementia:
● Obtain client's weight weekly: Regular weight monitoring helps assess the client's nutritional status and detect any significant changes that may require intervention.
● Offer the client finger foods for meals: Finger foods can be easier for the client to handle and consume independently, promoting independence and self-feeding.
● Encourage the client to take deep breaths when feeling agitated: Deep breathing exercises can help the client manage their agitation and promote relaxation.
● Assess client's memory every shift: Regular assessment of the client's memory allows for monitoring any changes or decline, which helps in planning appropriate interventions and providing necessary support.
The following interventions should be avoided:

● Speak loudly when addressing the client: Speaking loudly may cause confusion or agitation in the client. Instead, it is recommended to use a calm and reassuring tone of voice.
● Give long tasks at a time to the client: Clients with dementia often have difficulty with concentration and memory. Providing long tasks may overwhelm them and contribute to their frustration. Breaking tasks into smaller, manageable steps is more appropriate.

● Turn the client's TV on at night when they are unable to sleep: It is generally recommended to create a quiet and calming environment for sleep. The TV may interfere with the client's sleep and contribute to increased agitation or confusion.

This response is an appropriate nursing response in this situation. It acknowledges the client's need for assistance with grocery shopping while also recognizing that shopping and personal errands are not within the nurse's job description. By suggesting to explore other resources, the nurse can help the client find alternative solutions to meet their needs. This response demonstrates a willingness to support the client and collaborate on finding appropriate assistance, while also maintaining professional boundaries and responsibilities.

A. "I won't be able to shop for you today because I have to get home to my family." This response is inappropriate because it focuses on the nurse's personal circumstances and may come across as dismissive of the client's request for help. It does not address the client's needs or offer any alternative solutions.

B. "What I think you should do is wait for the days when you feel better and do your grocery shopping then." This response is dismissive of the client's current situation and does not offer any practical assistance or support. It implies that the client should simply wait for their condition to improve without addressing their immediate needs.

D. "I would be happy to do whatever I can to help you." While this response may initially seem supportive, it is inappropriate because shopping and performing personal errands for the client are not within the nurse's job description. It is important for the nurse to establish professional boundaries and adhere to the responsibilities outlined in their job description.