In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use in-clude:
a. speaking to the client sternly and instruct-ing the client to open the mouth and co-operate immediately.
b. having another nurse aide assist in holding the client's mouth open with a tongue de-pressor.
c. involving the client in the process of oral hygiene, such as using the hand over hand technique to brush the client's teeth.
d. quickly performing oral hygiene without explanation since the client is uncoopera-tive.
ANS: C
With uncooperative individuals, it is important for the caregiver to be at eye level and explain all actions with step-by-step instructions. Speaking to the client sternly, having another nurse aide hold the patient's mouth open, or performing oral hygiene without an explanation will only serve to agitate the patient. Involving the client and having the client participate to the extent possible is important. Using a hand over hand technique is effective.
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