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    Ati rn 400 mental health final proctored exam

    A nurse is caring for a client who has dementia due to Alzheimer's disease and was admitted to a long-term care facility following the death of her partner of 40 years. The client states, "I want to go home; my husband is waiting for me to cook dinner." Which of the following responses by the nurse is appropriate?

    Explanation & Rationale

    A. "This is a safer place for you to live." While this response may be factual, it could be dismissive of the client's feelings. The client is expressing a desire to return home, and it's important to validate their emotions instead of immediately focusing on the safety of the current setting. B. "Your family said there is no one to care for you at home." This response is not therapeutic and could be perceived as dismissive or defensive. The focus should be on empathizing with the client's feelings and acknowledging their emotional distress rather than explaining why they are in the facility. C. "This is where you live now." Although this is true, this response can be blunt and dismissive. It doesn't acknowledge the client's emotional needs or provide comfort. It may lead the client to feel unheard or misunderstood. D. "Tell me what you like to cook for dinner." This is the most appropriate response. It allows the nurse to engage with the client's feelings and encourage them to talk about a topic they enjoy, which can help reduce distress. It also provides an opportunity to redirect the client in a supportive and validating way, focusing on their memory and emotional needs rather than focusing on what they can't change.

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