A older patient diagnosed with severe, late-stage dementia no longer recognizes family members. The family asks how long it will be before this patient recognizes them when they visit. What is the nurse's best reply?
a. "Your family member will never again be able to identify you."
b. "I think that is a question the health care provider should answer."
c. "One never knows. Consciousness fluctuates in persons with dementia."
d. "It is disappointing when someone you love no longer recognizes you."
ANS: D
Therapeutic communication techniques can assist the family to come to terms with the losses and irreversibility dementia imposes on both the loved one and themselves. Two incorrect responses close communication. The nurse should take the opportunity to foster communication. Consciousness does not fluctuate in patients with dementia.
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