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    Hesi compass B exit proctored exam

    The nurse makes a supervisory home visit to observe an unlicensed assistive personnel (UAP) who is providing personal care for a client with Alzheimer's Disease. The nurse observes that whenever the client gets upset, the UAP changes the subject. What action should the nurse take in response to this observation?

    Explanation & Rationale

    A. Assuming care of the client is unnecessary, as the UAP is demonstrating an effective technique rather than a deficiency in care. B. Offering more choices may overwhelm a client with Alzheimer’s disease and actually increase anxiety rather than reduce it. C. Affirming the UAP’s strategy is appropriate because changing the subject when the client becomes upset is a recognized communication technique for individuals with Alzheimer’s disease. It helps redirect attention and decrease agitation. D. Role modeling assertive communication is not relevant here, as assertiveness is not the goal in managing an anxious Alzheimer’s client, calm redirection is preferred.

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