An older adult client with Alzheimer's disease is confused and asking the nurse to call their mother. What should the nurse do?

A. Clarify reality with the client about delusional thoughts.
B. Reduce the client's interaction with others during the day.
C. Awaken the client for reality checks every 4 hours at night.
D. Use distraction and therapeutic communication skills.

The correct answer is D). Use distraction and therapeutic communication skills. To support an older adult client with Alzheimer's disease who is confused, use distraction and therapeutic communication skills. Caregivers should foster a therapeutic relationship, adapt communication strategies, and consider pharmacological and supportive interventions when necessary.

The most appropriate response from the options provided would be to Use distraction and therapeutic communication skills. This approach allows for supporting the client in a respectful manner that does not confront or exacerbate their confusion. Strategies include validating the client's feelings, engaging in conversation about familiar and comforting topics, and gently redirecting when necessary.

However, pharmacological interventions targeting neurotransmitters like acetylcholine and glutamate may also play a role in the client's treatment plan, and caregivers should seek support when needed. As symptoms of Alzheimer's disease worsen over time, individuals may experience difficulty recognizing family members, speaking, or performing basic self-care activities, leading to anxiety, aggression, or the possibility of wandering.

This decision should take into account not only the mother's well-being but also the caregiver's ability to maintain a balance in their own life while providing care. Encouraging your friend to seek support groups and relevant services can also be instrumental in managing the challenges of caring for someone with Alzheimer's disease. Therefore, the correct answer is D). Use distraction and therapeutic communication skills.