A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer’s disease. Which of the following interventions should the nurse include in the plan?

Choice A reason: Providing an activity schedule that changes from day to day is inappropriate for a client with Alzheimer’s disease. These clients benefit from routine and consistency, which reduce confusion and anxiety. Frequent changes increase disorientation and agitation. Choice B reason: Rotating assignment of daily caregivers is not therapeutic. Clients with Alzheimer’s disease often struggle with recognition and memory. Consistency in caregivers fosters trust, reduces anxiety, and enhances cooperation. Rotating caregivers would increase confusion and distress. Choice C reason: Talking the client through tasks one step at a time is the most appropriate intervention. Alzheimer’s disease impairs memory, attention, and executive functioning. Breaking tasks into small, manageable steps helps the client focus, reduces frustration, and promotes independence. This approach aligns with evidence-based strategies for dementia care. Choice D reason: Limiting time for the client to perform activities is counterproductive. Clients with Alzheimer’s disease often require extra time to process instructions and complete tasks.