Question

The nurse is caring for an older adult client with advanced dementia, confusion, and a history of falls. Which of the following interventions are appropriate to promote client safety?

a) Place the client in a restraint chair
b) Provide a well-lit environment
c) Use bed rails for confinement
d) Encourage independent ambulation with supervision

Answer 1

Appropriate interventions for promoting safety in a client with dementia and a history of falls include providing a well-lit environment and encouraging supervised ambulation. Restraint chairs and bed rails should be avoided.

Step-by-step explanation:

The nurse is caring for an older adult client with advanced dementia, confusion, and a history of falls. The appropriate interventions to promote client safety would be b) provide a well-lit environment and d) encourage independent ambulation with supervision. Providing a well-lit environment can help to reduce confusion and visual misperceptions, which can contribute to falls. Encouraging independent ambulation with supervision is critical as it maintains the client's mobility while ensuring safety. Restraint chairs and bed rails are generally not recommended as they can lead to further physical and psychological harm and decline.