The nurse provides education for caregivers of a client with Alzheimer disease. Which instructions should the nurse include? Select all that apply.

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Strategies for caring for clients with Alzheimer disease address progressive memory loss and declining ability to communicate, think clearly, and perform activities of daily living. Caregivers should also learn to manage clients' problematic behavior and mood swings. Therapeutic guidelines include: Use distraction and redirection (eg, going for a walk) to manage agitation (Option C). Speak slowly and use simple words and yes-or-no questions. Do not try to rationalize with the client. Use visual cues when giving directions. Interact with the client as an adult, even as the client regresses to childlike affect and behavior; respect client dignity by avoiding use of pet names (eg, "honey," "sweetie," "darling") (Option D). Break down complex activities into steps with simple instructions. Decrease the client's anxiety by limiting the number of choices (Option B). (Option A) Allow plenty of time for task completion. The client cannot process information rapidly, and hurrying or rushing can cause agitation or anxiety. (Option E) Ask questions that can be answered with yes, no, or very few words. Do not ask open-ended questions, which can overwhelm the client and cause increased stress and frustration. Educational objective: Caregivers for clients with Alzheimer disease should communicate with the client using yes-or-no questions and simple, step-by-step instructions; treat the client as an adult; limit the number of choices; and allow plenty of time for task completion. Agitated clients can be redirected with new activities (eg, going for a walk).

The Nurse Provides Education for Caregivers of a Client with Alzheimer