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    Ati rn mental health 2023 proctored exam retake 1

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

    Explanation & Rationale

    A. Approach the client from the front: Approaching the client from the front is important to avoid startling them, especially if they are disoriented. It helps ensure they are aware of your presence and reduces confusion or anxiety. B. Avoid having a structured schedule: A structured schedule is actually beneficial for clients with dementia. Routine helps provide stability and reduces anxiety by giving the client a sense of predictability and control. C. Remove clocks from the room: Removing clocks is not recommended. Clocks can help orient the client to time and provide a sense of structure. It may be more helpful to use large clocks or calendars with clear time indicators. D. Give detailed explanations: Giving detailed explanations may overwhelm the client, especially if they are disoriented. It’s more effective to provide simple, clear instructions and focus on one thing at a time.

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