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 “why” questions can feel confrontational and may increase agitation or defensiveness in clients with dementia. This response also challenges the client’s belief directly, which can escalate confusion and distress. Choice B reason: This response is directive and dismissive of the client’s emotional state. It does not acknowledge the client’s perception or feelings and may increase resistance to care or agitation. Choice C reason: Although this response attempts to avoid direct confrontation, it still reinforces the client’s delusion by implying that going home is imminent. This can perpetuate confusion rather than providing emotional reassurance. Choice D reason: This response uses validation therapy by acknowledging the client’s emotional experience without reinforcing the delusion. Recognizing and naming the client’s feelings helps reduce anxiety, builds trust, and creates an opportunity to redirect the client toward the needed activity in a calm and supportive manner.