A nurse witnesses a client with late-stage Alzheimer's disease eat breakfast. Afterward the client states, "I am hungry and want breakfast." How should the nurse respond?

a. "I see you are still hungry. I will get you some toast."
b. "You ate your breakfast 30 minutes ago."
c. "It appears you are confused this morning."
d. "Your family will be here soon. Let's get you dressed."


ANS: A
Use of validation therapy with clients who have Alzheimer's disease involves acknowledgment of the client's feelings and concerns. This technique has proved more effective in later stages of the disease, when using reality orientation only increases agitation. Telling the client that he or she already ate breakfast may agitate the client. The other statements do not validate the client's concerns.

Nursing

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