A client diagnosed with Alzheimer's 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 approach should the nurse implement? 1. Administer a PRN antianxiety medication and restrict the client's activity participation.
2. Intervene 1:1 with the client until she is calm, and then redirect her to the activity.
3. Follow the client, reassure her 1:1, and then redirect her to a less stimulating activity.
4. Discontinue the activity program since it is upsetting the clients.
3
Rationale: Environmental stimulus should be kept at a minimum for clients with dementia. A quiet environment will prevent sensory overload. The nurse's 1:1 intervention with the client will reassure her and reduce her anxiety. Once the client is less agitated, she can be directed to a less stimulating activity.
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