A client with moderate to severe dementia does not remember her son's name. The son repeated-ly questions the mother when he visits the dementia facility, asking, "Do you know my name?"
The mother invariably becomes agitated. The nurse can most effectively intervene by explaining to the son:
1. "Your mother is angry with you and is punishing you by ‘forgetting' who you are. Be patient and she'll get over it."
2. "I know it is difficult for you, but your mother's dementia is severe and she can-not retain information even for short periods of time. She senses your distress and becomes agitated."
3. "Although it's a strain for you, you will need to reorient your mother as often as you can, during the time you are with her. With repetition, she may be able to understand and recall what you are saying."
4. "Because you become so distressed, it might be better if you come to see your mother only once a week and stay for only a short time."
ANS: 2
When a client with dementia is presented with a demand that exceeds his or her capacity to function, the demand creates a high level of stress. Showing anxiety and disapproval adds even greater stress. The son should be counseled to make every attempt to demonstrate positive re-sponses to his mother. The other options are not effective interventions.
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