A client is diagnosed with Alzheimer's disease. He tells the nurse, "I have a date tonight for Valentine's dance." The most appropriate response is:
Explanation & Rationale
A. "I think you need more medication. I will be right back." While medication is an important aspect of managing Alzheimer's disease, this response dismisses the patient's feelings and does not address the emotional content of the statement. The goal is to engage with the patient in a compassionate way, not to assume the medication is the solution. B. "Your wife passed away last year. Who's your date?" This response may be truthful, but it could be very distressing for the patient. Alzheimer's disease often causes memory loss and confusion, so correcting the patient in this blunt manner may cause unnecessary emotional distress or frustration. C. "Today is (today's date). Tell me about the other dances you've been to." This is the most appropriate response. It gently redirects the patient to reality by providing the correct date, but it also shows empathy and invites the patient to share pleasant memories. This approach validates the patient's emotions and encourages conversation, which is beneficial for maintaining dignity and engaging the patient in meaningful dialogue. D. "You're confused. Today is not Valentine's Day." This response may make the patient feel invalidated or upset. Alzheimer's disease often causes confusion and disorientation, so harshly correcting the patient can lead to increased agitation and emotional distress.