A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings should the nurse identify as a risk for this client?
Explanation & Rationale
Choice A reason: Long hallways can be challenging for clients with dementia due to potential confusion and disorientation. However, they do not pose a direct physical risk. Long distances might require more supervision and assistance, but they are not inherently dangerous. Choice B reason: Having the bed in a low position is generally a safety measure to prevent falls. For clients with dementia, this can be beneficial as it reduces the risk of injury if they attempt to get out of bed unassisted. Therefore, this is not considered a risk factor. Choice C reason: An area rug in the room can be a significant tripping hazard for clients with dementia. Dementia can affect a person's gait and balance, making them more prone to falls. Loose or uneven rugs can easily cause trips and falls, leading to potential injuries. This is why the presence of an area rug is identified as a risk. Choice D reason: Having locks on outside doors is a safety measure to prevent clients with dementia from wandering off and getting lost. Wandering is a common behavior in dementia patients, and locks can help ensure their safety by keeping them within a secure environment. This is not considered a risk but rather a protective measure.