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    ATI LPN Mental Health Proctored Exam 2023

    A nurse is caring for a client who has dementia and is experiencing an increased number of falls.Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A rationaleRecreational therapy may be beneficial, but it is not the primary intervention to reduce the risk of falls.Choice B rationaleLowering the window shade could help with sensory overload, but it does not directly address fall prevention.Choice C rationalePlacing the client near the nurses' station allows for closer monitoring and quicker intervention, which can help prevent falls.Choice D rationaleVest restraints should only be used as a last resort after other less restrictive measures have been tried and found ineffective.

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