At bedtime, a female client with dementia becomes increasingly confused and agitated because she believes that someone is standing behind the privacy curtain. Which action should the practical nurse (PN) take?
Explanation & Rationale
A. Administer a PRN antianxiety agent: Medication may be necessary if nonpharmacologic interventions fail, but sedatives should not be the first-line approach for agitation related to dementia. Overmedication can increase confusion, fall risk, and other adverse effects. B. Leave a night light on in her room: Providing adequate lighting helps reduce shadows and visual misperceptions that often trigger agitation in clients with dementia. This nonpharmacologic intervention promotes safety and orientation while addressing the root cause of the client’s fear. C. Transfer the client to another room: Moving the client may increase disorientation and anxiety. Familiar surroundings help maintain a sense of security, making relocation a less desirable first intervention. D. Tell her no one is behind the curtain: Directly challenging the client’s perception may escalate agitation. Clients with dementia often respond better to validation and environmental modifications rather than confrontation.