A nurse manager is providing a novice geriatric nurse with guidelines when encouraging an older client to reminisce about his or her life and past experiences. Which suggestions will be included? (Select all that apply.)
a. Don't correct the client even when you suspect the memory is incorrect
b. When the focus remains on sad topics, as-sess the client for possible depression
c. Refrain from interjecting personal stories into the reminiscing process
d. Expect and respect a degree of repetition
e. Use close-ended questions to help focus the reminiscing
ANS: A, B, D
Suggestions for encouraging reminiscing include listening without correction or criticism, re-membering that it is the client's recollections that are important; being patient with repetition since sometimes people need to tell the same story often to come to terms with the experience, especially if it was very meaningful to them; being attuned to signs of depression in conversation (dwelling on sad topics) or changes in physical status or behavior, and providing appropriate as-sessment and intervention; and keeping the conversation focused on the person reminiscing, but not hesitating to share some of your own memories that relate to the situation being discussed. Use open-ended questions to encourage reminiscing since they encourage free thought.
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