A nurse is contributing to the plan of care for a client who has a new prescription for lithium. Which of the following interventions should the nurse recommend?

A. It is essential to document the times when the client was offered opportunities for nutrition and toileting while in restraints. This includes offering food and fluids at regular intervals and assisting the client with toileting needs as required. Documentation ensures that these basic needs are met despite the restraint status.
B. Documenting observations of the client's range of motion helps monitor for any signs of discomfort, circulation issues, or injury related to being in restraints. This documentation is crucial for ensuring the client's safety and well-being during restraint use.
C. observation of the client should be conducted more frequently than once per hour, especially after an episode of violence, to closely monitor the client's condition and response to the restraints.
D. Documenting attempts at less restrictive interventions shows that the healthcare team is actively working to minimize the use of restraints whenever possible. This might include attempts to de-escalate the client, use of medications, or other interventions aimed at reducing agitation or violence without resorting to physical restraints.
E. It is important to document the names of staff members who are directly involved in the care of a restrained client. This ensures accountability and provides a clear record of who has been caring for the client during their restraint period.

A. Thought-stopping is a cognitive behavioral technique used to interrupt and replace negative or distressing thoughts. However, it is not directly related to reminiscence therapy. Reminiscence therapy focuses on stimulating memories and promoting positive reflections on past experiences rather than blocking thoughts.
B. Creating a unit calendar can be a helpful strategy to promote orientation to time and events for older adults, especially those who may have memory impairments. While this is a valuable activity for maintaining orientation, it is not specifically reminiscence therapy. Reminiscence therapy involves recalling and discussing personal memories rather than focusing on current events.

C. Playing board games can indeed enhance cognition by stimulating various cognitive functions such as problem-solving, memory, and social interaction. However, it is not considered reminiscence therapy. Reminiscence therapy involves specific guided discussions or activities that evoke memories from the past, which can promote emotional well-being and socialization through shared experiences.
D. This is the most appropriate strategy for reminiscence therapy. Discussing childhood memories encourages older adults to recall and share past experiences, fostering a sense of identity, meaning, and connection. It can also enhance self-esteem and provide opportunities for social interaction within a therapeutic context.