A nurse in an acute care facility is caring for a client who has Alzheimer's disease. The client is pacing in the hallway and states, "I am trying to get to work, and I can't be late!" Which of the following responses should the nurse make?
Explanation & Rationale
A. "Would you like me to get some medication to calm you down?": Offering medication immediately does not address the underlying anxiety or disorientation. Non-pharmacologic interventions should be attempted first in clients with Alzheimer’s disease unless safety is at immediate risk. B. "You don't work anymore. Let's go sit down and talk.": Confronting the client with reality can increase confusion, anxiety, and agitation. Clients with Alzheimer’s disease respond better to validation rather than correction of their perceptions. C. "Would you like to go to your room for a nap now?": Redirecting to rest may help in some situations, but it does not validate the client’s feelings or engage them in a meaningful way. The client may resist if the suggestion does not acknowledge their current concern. D. "I'll walk with you for a while. Tell me about your work.": Walking alongside the client and engaging in conversation validates their feelings, reduces agitation, and provides safe physical activity. This approach supports emotional connection, reduces anxiety, and prevents escalation of behavioral symptoms.