Cognitive And Sensory Alterations Support Practice Test

An 82-year-old client with dementia in a long-term care facility becomes combative during evening care and says, “You are trying to hurt me.” The client is disoriented to place and time, has a history of sundowning, and is pacing with clenched fists. Which approach is MOST effective in managing the client's confusion?

A 76-year-old client with moderate dementia in an assisted living facility is pacing and repeatedly entering other residents’ rooms. The client is oriented to person only, speech is clear, and vital signs are stable. Which intervention should the nurse implement to support the client's orientation?