A client diagnosed with Alzheimer disease has a catastrophic reaction during an activity involving simultaneous music playing and a craft project
The client starts shouting, "No! No! No!" and runs from the room. Which action by the nurse is the most appropriate?
A) Administer a PRN anti-anxiety medication and restrict the client's activity participation.
B) Intervene one-on-one with the client until the client is calm, and then redirect the client to another activity such as Bingo.
C) Discontinue the activity program because it is upsetting the client.
D) Follow the client, reassure the client one-on-one, and then redirect the client to a quiet activity.
Answer: D
Environmental stimuli should be kept at a minimum for clients with dementia. A quiet environment will prevent sensory overload. The nurse's one-on-one intervention with the client will reassure the client and reduce anxiety. Once the client is less agitated, the client can be directed to a less stimulating activity.
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