A client diagnosed with Alzheimer disease has a catastrophic ...

[saliriagwu]

A client diagnosed with Alzheimer disease has a catastrophic reaction during an activity involving simultaneous music playing and a craft project.
 
  The client starts shouting, No No No and runs from the room. Which action by the nurse is the most appropriate?
  A) Administer a PRN anti-anxiety medication and restrict the client's activity participation.
  B) Intervene one-on-one with the client until the client is calm, and then redirect the client to another activity such as Bingo.
  C) Discontinue the activity program because it is upsetting the client.
  D) Follow the client, reassure the client one-on-one, and then redirect the client to a quiet activity.

Question 2

The nurse is preparing an educational program for the family of a client with Alzheimer disease who is ready for discharge. Which will the nurse focus on to reduce the client's risk for injury?
 
  Select all that apply.
  A) Have all objects in the room be the same color.
  B) Check shoes for fit and support.
  C) Be aware that client in the early stages usually have few problems with unfamiliar places.
  D) Keep all familiar objects in the home.
  E) Remove throw rugs and electrical cords.

[jesse.fleming]

Answer to Question 1

Answer: D

Environmental stimuli should be kept at a minimum for clients with dementia. A quiet environment will prevent sensory overload. The nurse's one-on-one intervention with the client will reassure the client and reduce anxiety. Once the client is less agitated, the client can be directed to a less stimulating activity.

Answer to Question 2

Answer: B, E

Clients with chronic confusion, as often seen with dementia associated with Alzheimer disease, are at increased risk for falls. Shoes should fit and be supportive. Simplifying the home environment while keeping familiar furniture in the same space will assist the client to cope better safely. Clutter should be removed to reduce anxiety and suspicions, and to promote safety. The concept of pop up-using a contrast in colors to assist the client in finding an object in a room-should be explained to caregivers. For example, a white toilet in a blue room is easier to distinguish than a white toilet in a white room. Even in early stages of dementia, clients have difficulty dealing with unfamiliar places.