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Dementia
Dementia ( 5 Questions)
A nurse is caring for a client with Alzheimer’s disease who has difficulty remembering recent events.
Which of the following interventions is appropriate for the nurse to implement?
This is wrong because asking the client to repeat information several times to enhance retention may increase frustration and anxiety for the client, as he or she may not be able to recall the information due to impaired memory.
This is wrong because avoiding using reminiscence therapy as it may increase confusion is not supported by evidence.Reminiscence therapy is a type of intervention that involves recalling and sharing past experiences with others, which can improve mood, cognition, and socialization for clients with Alzheimer’s disease.
This is wrong because correcting the client’s mistakes or inaccuracies to improve memory may also cause frustration and agitation for the client, as he or she may not be aware of the errors or may feel criticized or embarrassed.
The correct answer is B.
Provide the client with a calendar and a clock to promote orientation. This intervention helps the client with Alzheimer’s disease to maintain a sense of reality and reduce confusion by providing cues for time and date.
Choice A is wrong because asking the client to repeat information several times to enhance retention may increase frustration and anxiety for the client, as he or she may not be able to recall the information due to impaired memory.
Choice C is wrong because avoiding using reminiscence therapy as it may increase confusion is not supported by evidence. Reminiscence therapy is a type of intervention that involves recalling and sharing past experiences with others, which can improve mood, cognition, and socialization for clients with Alzheimer’s disease.
Choice D is wrong because correcting the client’s mistakes or inaccuracies to improve memory may also cause frustration and agitation for the client, as he or she may not be aware of the errors or may feel criticized or embarrassed.
Normal ranges for cognitive function can be assessed using tools such as the Mini-Mental State Examination (MMSE) or the Montreal Cognitive Assessment (MoCA), which measure orientation, attention, memory, language, and executive function.
The MMSE has a maximum score of 30, with scores below 24 indicating cognitive impairment. The MoCA has a maximum score of 30, with scores below 26 indicating mild cognitive impairment.
A. Ask the client to repeat information several times to enhance retention.
B. Provide the client with a calendar and a clock to promote orientation.
C. Avoid using reminiscence therapy as it may increase confusion.
D. Correct the client’s mistakes or inaccuracies to improve memory.