A patient diagnosed with Alzheimer's disease has a catastrophic reaction during an activ-ity involving simultaneous playing of music and working on a craft project. The patient starts shouting "no, no, no" and rushes out of the room

The nurse should:
a. Discontinue the activity program since it upsets the patients.
b. Follow the patient, reassure her, and redirect her to a quieter activity.
c. Isolate the patient until she is calm, and then direct her back to the activity.
d. Give the patient prn antianxiety medication and restrict her activity participation.


ANS: B
These actions will restore safety and self-esteem. Isolation will decrease self-esteem and may increase confusion. It is only one patient that is distressed, not the entire group. Behavioral interventions should be attempted prior to administering medication.

Nursing

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