A nurse is observing the progress of an elderly client started on a new medication for dementia

Which is a critical point for the nurse to consider when collecting subjective data about the client and the response to the new medication for dementia? A) Assess the client's body language and nonverbal gestures.
B) Disregard the presence of a cross that the client continuously holds.
C) Avoid asking the client any direct questions because of the dementia.
D) Request that a family member be present during the assessment.


A
Feedback:
The nurse should observe for body language, gestures, facial expression, and other forms of nonverbal communication that may provide clues about how the client is feeling. The nurse may ask the client direct questions as well as indirect questions. The nurse should consider religious factors, such as the cross. It is not necessary to include a family member during the assessment.

Nursing

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