A nurse is caring for a client who has dementia and is experiencing an increased number of falls.
Which of the following actions should the nurse take?.
A.
Lower the window shade in the client’s room.
B.
Obtain a PRN prescription for a vest restraint.
C.
Place the client in a room close to the nurses’ station.
D.
Request a consult with recreational therapy.
The correct answer and Explanation is :
The correct answer is C. Place the client in a room close to the nurses’ station.
Explanation
Clients with dementia often experience confusion and disorientation, which can lead to an increased risk of falls. Placing the client in a room close to the nurses’ station can significantly enhance safety. This positioning allows for better monitoring by nursing staff, enabling prompt responses to any potential incidents. Proximity to staff can also provide a reassuring environment for the client, which may help reduce anxiety and agitation, factors that can contribute to falls.
Option A: Lower the window shade in the client’s room. While reducing glare and distractions might help some clients feel more secure, it does not directly address the risk of falls. Simply changing the room’s lighting may not provide sufficient oversight or safety.
Option B: Obtain a PRN prescription for a vest restraint. Using restraints in dementia care is controversial and often discouraged due to ethical concerns and the potential for increased agitation and injury. Restraints can also lead to a decreased sense of autonomy and dignity, which can worsen behavioral symptoms.
Option D: Request a consult with recreational therapy. While recreational therapy can play an important role in engaging clients and improving their quality of life, it may not provide immediate solutions for the current risk of falls. Such interventions can be beneficial but should not be the primary response to urgent safety concerns.
In summary, placing the client near the nurses’ station allows for continuous observation, facilitating immediate interventions and fostering a safer environment, which is paramount in preventing falls among clients with dementia.