An elderly client with dementia and paranoia is refusing restorative nursing care. What initial approach should the nurse take?

A. Prepare a complex care plan without involving the client disregards the client’s autonomy and can increase anxiety or resistance. Even with cognitive impairment, involving the client in care decisions helps promote trust and cooperation. B. Restrict movement until the client complies is coercive and can cause distress, escalate agitation, and violate ethical principles of autonomy and dignity. Physical restrictions should be a last resort and only used for safety. C. Offer reassurance and explain the purpose of the care plan is the appropriate initial approach. Clients with dementia and paranoia may refuse care due to fear or misunderstanding. Providing calm, clear explanations, using simple language, and offering reassurance helps reduce anxiety, gain cooperation, and preserve dignity. Engaging the client respectfully promotes trust and increases the likelihood of successful restorative care. D. Dismiss the client's refusal and proceed with care violates the client’s autonomy, may escalate paranoia or agitation, and can damage the nurse-client relationship. Forced care should be avoided unless there is an immediate threat to safety.