A client diagnosed with Alzheimer's disease is admitted to an acute care facility for treatment of an infection. Assessment reveals that the client is anxious. When developing the client's plan of care, which intervention will be least appropriate for a nurse to include?

Question

Quizplus · Accepted Answer

The threshold for stress is progressively lowered in people with Alzheimer's disease and other progressive dementias. A healthy person frequently uses cognitive coping strategies when under stress, but a person with dementia can no longer use many of these strategies. Commonly used therapeutic approaches may exacerbate anxiety in a client with dementia. For example, reality orientation is usually an effective intervention for acutely confused clients. Reality orientation is contraindicated in those with dementia because it is possible that the client's disoriented behavior or language has inherent meaning. If the disoriented behavior or language is continuously neglected or corrected, the client's sense of isolation and anxiety may increase. Effective nursing interventions include simplifying routines, making routines as consistent and predictable as possible, reducing the number of choices the client must make, identifying areas in which control can be maintained, and creating an environment in which the client feels safe.

A Client Diagnosed with Alzheimer's Disease Is Admitted to an Acute