An 80-year-old woman who has Alzheimer disease is restless, wanders during mealtimes, and will not sit down to eat
The nurse assisting with writing the care plan prioritizes the following interventions for the goal: The patient will eat at least 25% of each meal. (Prioritize the options in sequence, from the most therapeutic to the least therapeutic. Separate letters by a comma and space as follows: A, B, C, D.) A. Place her in a chair with a vest restraint. B. Assign a nursing assistant (NA) to feed her. C. Give her a high-protein drink in a small cup to carry with her. D. Offer peanut butter crackers as she passes by. E. Leave her alone. She will eat when she is hungry.
C, D, B, A, E
Offering a high-energy drink in a small cup partially meets the goal without further agitating the patient. Offering a cracker accomplishes the same thing, but accurate evaluation of whether the crackers are eaten or just dropped might be difficult. Assigning an NA to feed her may agitate her further and reduce her intake even more; in addition, it may not be the best use of available personnel. Placing her in a chair with a vest restraint is not a very desirable intervention and may not encourage her to eat. Leaving her alone does not meet the goal nor does it reduce the nutri-tion deficit.
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