A nurse is contributing to the plan of care of a patient with dementia. Which of the following is appropriate to include in the plan of care?

A nurse is contributing to the plan of care of a patient with dementia. Which of the following is appropriate to include in the plan of care?

• A. Limit client\'s choices for daily activity
• B. Provide all choices to promote autonomy
• C. Use restraints
• D. Isolate the client

Answer: (A)

Managing dementia involves balancing independence with safety. When cognitive function is impaired, too many choices can be overwhelming and lead to frustration, agitation, or nonadherence. So, structure the day with a predictable routine and offer a small, manageable number of safe, meaningful options. This approach supports participation and autonomy without overloading the patient with decisions. For example, present two activity options or two clothing choices rather than a long list, and maintain routine so the patient knows what to expect. Giving all possible choices can be confusing and distressing, while using restraints or isolating the patient is inappropriate and can worsen safety and mood. Therefore, including a plan that limits daily activity choices to a few clear options while preserving routine is appropriate.

Managing dementia involves balancing independence with safety. When cognitive function is impaired, too many choices can be overwhelming and lead to frustration, agitation, or nonadherence. So, structure the day with a predictable routine and offer a small, manageable number of safe, meaningful options. This approach supports participation and autonomy without overloading the patient with decisions. For example, present two activity options or two clothing choices rather than a long list, and maintain routine so the patient knows what to expect.

Giving all possible choices can be confusing and distressing, while using restraints or isolating the patient is inappropriate and can worsen safety and mood. Therefore, including a plan that limits daily activity choices to a few clear options while preserving routine is appropriate.