A client 86 years of age with a diagnosis of late-stage Alzheimer's disease requires full assistance with transfers to and from his bed. Which of the following nursing actions is most likely to promote safe handling of this client?
A) Provide to the client brief, clear instructions that are phrased positively.
B) Post written instructions at the client's bedside to supplement spoken instructions.
C) Ask for the client's input on the timing and technique for transfers.
D) Ask for the client's feedback frequently during transfers.
Ans: A
When handling clients who have dementia, clear, short instructions are most effective. These instructions should be phrased positively ("stand up" rather than "don't sit down"). For a client with an advanced state of dementia, asking for feedback during transfers, and input on planning transfers is likely to be ineffective and may be frustrating for both the client and the nurse.
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