During morning care, the nursing assistant asks a client with dementia "How was your night?" The
client replies "It was lovely. My husband and I went out to dinner and to a movie.".
The nurse who
overhears this should make the assessment that the client is
a. demonstrating a sense of humor.
b. using confabulation.
c. perseverating.
d. delirious.
B
Confabulation is the making up of stories or answers to questions by a person who does not
remember. It is a defensive tactic to protect self-esteem and prevent others from noticing memory
loss. Option A: The client's response was not given facetiously, so it cannot be assessed as an
attempt at humor. Option C: Perseveration refers to repeating a word or phrase over and over.
Option D: Delirium cannot be assessed as present in this scenario.
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