The nurse plans care for a client with moderate Alzheimer's disease (AD). Which of the following interventions should the nurse include?
The nurse plans care for a client with moderate Alzheimer's disease (AD). Which of the following interventions should the nurse include?
A. Provide a low-stimulation environment with adequate lighting
[88%]
B. Quiz the client with orientation questions
[8%]
C. Change assigned staff to avoid burnout
[1%]
D. Provide a broad range of choices
[3%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Sensory/Perceptual Alterations
Item Type
Item Type
Application
Explanation
Choice A is correct. When caring for a client with moderate Alzheimer's disease, the nurse should provide a low-stimulated environment with adequate lighting. The rationale for giving a low-stimulated environment is to allow the client to cognitively process one task at a time and not become distracted.
Choice B is incorrect. Quizzing the client would result in frustration. The care plan should cue the client with necessary cues and avoid confounding the client.
Choice C is incorrect. Consistent caregivers are always a good idea because it enriches the client's relationship with the caregiver and provides comfort from familiarity.
Choice D is incorrect. Providing a broad range of choices is not recommended because this may lead to indecisiveness, causing the client to feel frustrated.
Additional Info
✓ Alzheimer's disease (AD) is the most common type of dementia
✓ The progressive deterioration of cognitive functioning commonly characterizes AD. Initial deterioration may be so subtle and insidious that others may not notice it
✓ In the early stages of the disease, the affected person may be able to compensate for and hide cognitive deficits
✓ Manifestations of AD include impairment of recent memory which progresses to remote memory
✓ As the disease progresses, the client may have impairment in executive functioning, including planning, organizing, and problem-solving
✓ Additional clinical features of AD include the triple-A (agraphia, agnosia, and apraxia)
✓ Nursing care is aimed at maximizing function and promoting safety
✓ The nurse should also provide caregiver/family support because of the emotional toll of this disorder
