An older adult who was admitted to a long-term care facility yesterday is confused about what day of the week it is. Her history does not indicate that the client was confused prior to admission. What action should the practical nurse (PN) take?
Explanation & Rationale
A. Document the client's loss of memory in the record: While documentation is important, recording the symptom alone does not address the client’s immediate disorientation or provide support for orientation. B. Encourage the client to rest during the day: Promoting rest can be helpful for overall cognitive function, but it does not directly assist the client in regaining orientation or managing confusion in the moment. C. Notify the family of the change in the client's condition: Informing family may be appropriate if the confusion persists or worsens, but the first priority is to reorient and support the client in real time. D. Remind the client what day of the week it is: Reorientation is the initial nursing intervention for acute confusion. Providing cues about time, place, and situation helps the client regain orientation and reduces anxiety associated with disorientation.