The nurse is preparing an educational program for the family of a client with dementia who is ready for discharge

Question

Instructions for families to deal with the spatial disorientation of clients with dementia should include which of the following? 1. Keeping all familiar objects in the home even if some of the objects clutter the environment
2. Simplifying rooms but keeping familiar furniture in the same space; removing clutter
3. Having objects of attention the same color as the room; for example a white toilet in a white bathroom will decrease stimulation and anxiety
4. Being aware that clients in the early stages usually have few problems with unfamiliar places

Answer 1

2. Simplifying rooms but keeping familiar furniture in the same space; removing clutter

Rationale:
Clients with dementia may have distorted views of space and locations, and may interpret objects incorrectly. Simplifying the home environment while keeping familiar furniture in the same space will assist the client to cope better safely. Clutter should be removed to reduce anxiety and suspicions, and to promote safety. The concept of "pop up," using a contrast in colors to assist the client in finding an object in a room, should be explained to caregivers. For example a white toilet in a blue room is easier to distinguish than a white toilet in a white room. Even in early stages of dementia, clients have difficulty dealing with unfamiliar places.