A client tells the nurse he has just finished an important business meeting, when in fact he has been napping. Upon what rationale should the nurse's response be based?
1. Ignoring memory deficit avoids catastrophic reactions.
2. Delusions should be confronted to clarify thinking.
3. Reality should be reinforced to maximize functioning.
4. Changing the topic provides diversion.
ANS: 3
In mild to moderate dementia, only recent memory is affected and clients may be capable of be-ing reoriented. Helping the client maintain here-and-now focus will foster maximum use of intel-lectual functions. Ignoring, using confrontation, and changing the topic would not be as useful as gently reorienting.
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