A nurse is performing a home assessment for a client who has weakness in the lower extremities. Which of the following referrals should the nurse request for the client?

A. Refute the client's delusions using logic: Confronting or trying to correct delusions can increase agitation and confusion in clients with dementia. This approach is not therapeutic and should be avoided.

B. Give the client one simple direction at a time: Providing clear, single-step instructions reduces confusion and helps the client successfully complete tasks, supporting independence and minimizing frustration.

C. Allow the client to choose among a variety of activities each day: Offering too many choices can overwhelm a client with dementia, leading to anxiety and agitation. It is more effective to offer a simple choice between two options or to provide a structured routine to reduce decision fatigue.

D. Establish eye contact when communicating with the client: Eye contact enhances attention, conveys respect, and improves comprehension during interactions, which is particularly important for clients with cognitive impairment.

E. Reinforce orientation to time, place, and person: Gentle reminders and reorientation cues help maintain cognitive function, reduce anxiety, and support the client’s awareness of their environment.

Rationale:

A. "The nurse will ask you to remove any transdermal patches prior to the procedure.": Some transdermal patches contain metallic components that can overheat during an MRI, posing a burn risk. Removing them prevents injury and ensures safety in the strong magnetic field.

B. "The nurse will ask you to wear protective eyewear during this procedure.": Protective eyewear is not necessary for MRI scans, as there is no exposure to bright light or flying debris. This precaution applies more to procedures involving lasers or potential eye hazards.

C. "You should not have this procedure if you are allergic to iodine.": Iodine allergies are a concern with certain CT scans using iodinated contrast, not standard MRIs. MRI contrast agents typically contain gadolinium, which has a different allergy profile.

D. "You should not have this procedure if you have a tattoo.": Tattoos generally do not contraindicate MRI, although some with metallic ink may cause mild skin irritation. This is rare and does not usually prevent the procedure from being performed.