A client with moderate to severe dementia does not remember her ...

[xroflmao]

A client with moderate to severe dementia does not remember her son's name. The son repeated-ly questions the mother when he visits the dementia facility, asking, Do you know my name?
 
  The mother invariably becomes agitated. The nurse can most effectively intervene by explaining to the son:
  1. Your mother is angry with you and is punishing you by forgetting' who you are. Be patient and she'll get over it.
  2. I know it is difficult for you, but your mother's dementia is severe and she can-not retain information even for short periods of time. She senses your distress and becomes agitated.
  3. Although it's a strain for you, you will need to reorient your mother as often as you can, during the time you are with her. With repetition, she may be able to understand and recall what you are saying.
  4. Because you become so distressed, it might be better if you come to see your mother only once a week and stay for only a short time.

Question 2

The intervention of highest priority for a client with stage 3 Alzheimer's disease is to:
 
  1. Provide a stimulating environment
  2. Maintain hydration and nutrition
  3. Set limits on behavioral disinhibition
  4. Promote self-care activities

[ecox1012]

Answer to Question 1

ANS: 2
When a client with dementia is presented with a demand that exceeds his or her capacity to function, the demand creates a high level of stress. Showing anxiety and disapproval adds even greater stress. The son should be counseled to make every attempt to demonstrate positive re-sponses to his mother. The other options are not effective interventions.

Answer to Question 2

ANS: 2
The severe dementia characteristic of stage 3 renders the client incapable to independently meet hydration and nutrition needs. These needs are basic to life, so they are of highest priority. Op-tion 1 would be nontherapeutic. Options 3 and 4 are inappropriate emphases for care.