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    PN Comprehensive Predictor PN 2020 Proctored Exam

    A nurse in an adult day care facility is contributing to the plan of care for a client whose family reports recent confusion and memory loss. Which of the following strategies should the nurse include in the plan?

    Explanation & Rationale

    A. Maintain low-level lights in common areas. Inadequate lighting can contribute to disorientation and falls. Well-lit areas with natural or soft lighting are preferable. B. Give the client several meal options at lunchtime. Too many choices can be overwhelming and increase confusion. Instead, limiting choices (e.g., offering just two meal options) is a better approach. C. Confront the client regarding inappropriate behavior.Confrontation can increase agitation and distress. Instead, redirection and gentle guidance are more effective strategies. D. Use symbols in the communal room signage. Clients experiencing confusion and memory loss benefit from visual cues and simple, clear communication. Using symbols (such as pictures of a toilet for the restroom or a plate for the dining area) can help them navigate the environment more easily and reduce frustration.

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