An older adult client with dementia who is refusing to allow an unlicensed assistive personnel (UAP) to assist in bathing, is becoming increasingly agitated and stating the UAP "wants to hurt me and fie me up." Which approach should the nurse use with the client?

A. Clarifying reality may not be effective with clients who have dementia and may increase agitation. B. Reducing interaction can lead to further feelings of isolation and fear. C. Awaking the client earlier does not address the immediate issue of agitation and delusional thoughts. D. Using distraction and therapeutic communication skills can help to alleviate agitation and address the client’s fears in a supportive manner.