Page 2275 - Saunders Comprehensive Review For NCLEX-RN

client with a simple step-by-step
approach.
q. Provide the client with activities that
distract and occupy time, such as
listening to music, coloring, and
watching television.
r. Provide the client with mental
stimulation with simple games or
activities.

4. Wandering

a. Provide the client with a safe
environment free of clutter and
hazardous items.
b. Provide safe ambulation, including
comfortably and well-fitting shoes,
mobility aids.
c. Provide close and frequent supervision.
d. Close and secure doors.
e. Use identification bracelets and
electronic surveillance.
f. Encourage rest periods in the afternoon,
because wandering worsens at night.
g. Provide regular supervised exercise or
walking programs.
h. Sundown syndrome (sundowning) is
characterized by a pronounced
increase in symptoms and problem
behaviors in the evening.

Providing a safe environment is a priority

in the care of a client with Alzheimer’s disease.
5. Communication disorders

a. Disorders include language disorder
(expressive–receptive disorder), speech
sound disorder (phonological
disorder), childhood-onset fluency
disorder (stuttering disorder), and
social communication disorder
(impaired social communication).
b. Adapt to the communication level of
the client.
c. Pay attention to nonverbal cues.
d. Use a firm volume and a low-pitched
voice to communicate.

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