What intervention should a nurse implement when an older male diagnosed with dementia is ob-served masturbating in the unit's dayroom?
a. Remove the resident from the dayroom and complete an assessment of his behav-ior.
b. Cover the resident's lap with a blanket and leave him in the dayroom.
c. Counsel the resident by telling him that his behavior is inappropriate.
d. Distract the resident so that he will stop the behavior.
ANS: A
When sexually inappropriate behavior occurs, it should be assessed, like any other behavior, as to cause, precipitating factors, and response to interventions. It is appropriate to remove the resident from the dayroom because the behavior may be distressing to staff and other residents. Covering the resident with a blanket and leaving him in the dayroom does not address the cause of the be-havior, and it might be distressing for other residents and staff. The resident has dementia and is not capable of altering his behavior based on the information that it is inappropriate. Distracting the resident will only temporarily interrupt the behavior.
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