A nursing student is caring for an older client with dementia (decline in mental function). The nursing student tries to help the client out of bed to the chair. The client quickly refused to allow the student to touch him. Which action the student should
A) Inform the nursing instructor that the client is refusing to get out of bed to the chair, and ask for help
B) Discuss with the physician the attempts to provide care and the behaviors the client is exhibiting
C) Discuss the matter with the licensed practical/vocational nurse assigned to his care if this is a change in his behavior
D) Leave and care for another client and come back and ask the client for permission to move him from chair to bed
Ans: D
Feedback:
The best next action for the student to take is to leave and care for another client and then return and introduce self and purpose and ask for permission before proceeding to touch and care for the client. Clients with dementia have problems with short-term memory, so the nursing student may gain a new chance to gain the client's trust and be able to properly care for the client. Informing the instructor is not the best first step because the nursing instructor will most likely have the student try leaving and returning. The student needs to find out from the client's licensed practical/vocational nurse if the behavior is a change and try other attempts to try to provide care before discussing the matter with the physician. Although the student may need to discuss the matter with the physician, that should be done after leaving and returning.
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