The nurse is working with a client with dementia who has hallucinations and delusions. The client tells the nurse that the client cannot take a shower because the client is waiting for the client's spouse to take the client home. Which response by the nurse is best in this situation?

Choice A reason: Asking a “why” question challenges the client’s belief and may feel confrontational. Clients with dementia often lack insight into their condition, and questioning their reasoning can increase confusion, anxiety, and agitation rather than promote cooperation or comfort. Choice B reason: This response is directive and dismisses the client’s emotional experience. It fails to acknowledge the client’s fear or distress and may increase resistance to care, potentially escalating behavioral symptoms. Choice C reason: Although this response avoids direct confrontation, it inadvertently reinforces the client’s delusion by implying that going home will occur. Reinforcing false beliefs can worsen confusion and perpetuate distress in clients with dementia. Choice D reason: This response uses validation therapy by acknowledging the client’s emotional state without reinforcing the delusion. Recognizing and verbalizing the client’s feelings helps reduce anxiety, promotes trust, and creates an opportunity to redirect the client to necessary care in a calm and supportive manner.