A nurse is caring for a client who has moderate Alzheimer's disease. The client asks the nurse. "I am ready to play golf this morning. Do you know where my clubs are?" Which of the following actions should the nurse take?

Rationale: A. The client with moderate Alzheimer’s disease is demonstrating confusion and likely confabulation (filling in memory gaps with incorrect but plausible ideas). The nurse should use validation, redirection, and simple structured responses. This answer avoids confrontation, reduces anxiety, and gently redirects the client to a routine activity (breakfast) before addressing the request later, which is appropriate for cognitive impairment care. B. Asking “why” questions can increase confusion, frustration, or agitation in clients with dementia. They may not be able to explain their thinking due to impaired memory and reasoning, leading to distress rather than clarity. C. This response is non-therapeutic and may further confuse the client. The nurse should not redirect basic reality-based confusion to the provider, especially when the issue is related to cognitive impairment rather than a medical decision requiring provider input. D. Dexmethylphenidate is a central nervous system stimulant and is not used to manage Alzheimer’s disease symptoms. Pharmacologic management of Alzheimer’s typically includes cholinesterase inhibitors or NMDA receptor antagonists, not stimulants for situational confusion.