For a patient with dementia, how might the nurse best improve orientation and clarity? Select all that

Question

apply.

a. Place personal objects where the patient can see them.
b. Introduce yourself each time you have contact with the patient.
c. Encourage the patient to relax while the nurse gives the bath.
d. Use short sentences with only a few words.
e. Do not offer many choices when it comes to ADLs.

Answer 1

A, B, D, E
Place personal objects, photos, and mementos in the immediate environment, and discuss them with the client. Introduce yourself and state the client's name each time you meet with him; wear a readable (large, plain type) nametag to reinforce your introduction. Also identify the day, date, and time as you interact. Encourage the patient to participate in familiar activities, such as bathing. To promote patient orientation for a patient with confusion (e.g., dementia), use simple communication and offer few choices with ADLs to prevent from overwhelming the patient. While you may sometimes find it necessary to bathe the patient, that intervention wouldn't be expected to improve orientation. Furthermore, encouraging the patient to relax would likely be ineffective in relaxing the patient, and might even elicit anger.