A nurse is contributing to the plan of care for a client who has dementia. Which of the following interventions should the nurse recommend?
Explanation & Rationale
Dementia is a progressive neurocognitive disorder that affects memory, judgment, language, and the ability to perform activities of daily living. Clients often experience confusion, decreased attention span, and impaired executive functioning, which can interfere with safe and adequate nutrition. Nursing care focuses on promoting independence, ensuring safety, and simplifying tasks to reduce frustration. Interventions should support functional abilities while maintaining dignity and adequate nutritional intake. Rationale: A. Limiting directions to three at a time is not appropriate because clients with dementia typically benefit from one simple instruction at a time. Providing multiple directions, even up to three, can overwhelm cognitive processing and increase confusion. Instructions should be short, clear, and given step-by-step to enhance understanding and compliance. B. Discouraging the client from reminiscing is incorrect because reminiscence can be therapeutic for clients with dementia. Talking about past experiences can improve mood, reduce anxiety, and support orientation to self. It is often used as a supportive communication strategy to enhance emotional well-being and cognitive engagement. C. Providing finger foods at mealtimes is appropriate because it supports independence in eating for clients with dementia who may have difficulty using utensils. Finger foods reduce the complexity of the task and help maintain adequate nutritional intake despite cognitive or motor impairments. This intervention promotes autonomy and reduces the risk of malnutrition. D. Encouraging the client to eat meals in their room is not recommended because social interaction during meals can improve food intake and reduce agitation. Eating in a communal setting, when safe, provides cues for appropriate eating behavior and enhances stimulation. Isolation may worsen confusion and decrease nutritional intake in clients with dementia.