NCLEX-PN

Category - Psychosocial Integrity

A female client with moderate Alzheimer’s disease tells the nurse for the third time about her trip to Paris, where she met her husband. From the information gathered by the nurse, the client met her husband in New York and had a honeymoon in Paris right after the wedding. Which of the following responses by the nurse is the most appropriate when caring for the client?
  1. Inform the client that it is her third time to tell the story
  2. Inform the client in a matter-of-fact tone that she met her husband in New York
  3. Instruct the client’s husband to carefully and gently correct her stories
  4. Allow the client to share her stories as she remembers them
Explanation
Answer: D - Allowing the client to tell her stories is an effective way of reducing agitation. Clients with Alzheimer’s disease mask their loss of memory by retelling the stories from the past. Repeated correcting of stories may increase the risk of agitation and may have a negative effect on her self-esteem.
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