A nurse is providing teaching about the use of metered-dose inhalers to a client who has asthma. Which of the following instructions should the nurse include?

A. Keep a monthly calendar in the client's kitchen: A calendar showing a full month may be difficult for a client with Alzheimer's disease to process due to impaired memory and orientation. Simpler visual aids or daily reminders are more effective in supporting cognitive function.
B. Provide distraction by keeping the television on: Leaving the television on continuously can overstimulate the client and contribute to confusion or agitation. Clients with Alzheimer's often benefit more from calm, structured environments than from constant auditory input.
C. Install a nightlight in the client's bedroom: Installing a nightlight helps maintain orientation and reduce nighttime confusion. It also lowers the risk of falls by making it easier for the client to navigate their environment if they wake during the night.
D. Place a deadbolt lock on the client's bedroom door: Locking the client in their bedroom poses serious safety concerns, especially in emergencies like a fire. It may also increase anxiety or fear. Safer wandering prevention measures include door alarms or monitoring systems.

A. “The proxy should manage legal issues for the client.”: Legal matters are typically handled by a general power of attorney, not a durable power of attorney for health care. The health care proxy is specifically responsible for making medical decisions, not legal ones.
B. “The proxy can make financial decisions if the need arises.”: Financial decisions fall under the responsibilities of a financial power of attorney, not a health care proxy. The DPAHC is limited to health-related decisions when the client is unable to do so.
C. "The proxy should make health care decisions for the client regardless of the client's ability to do so.": The health care proxy only assumes decision-making authority when the client is no longer capable of making or communicating their own medical decisions.
D. "The proxy can make treatment decisions if the client is under anesthesia.": A DPAHC authorizes the health care proxy to make medical decisions when the client is temporarily or permanently incapacitated, including during periods such as surgery under anesthesia.