Evolve HESI Practice Exam 2025 - Free HESI Practice Questions and Study Guide

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Which factor should the nurse consider when planning care for a client with dementia?

Confusion often improves in familiar settings

Confusion in the elderly is permanent

Confusion often follows relocation to new surroundings

When caring for a client with dementia, it is crucial for the nurse to acknowledge that confusion often follows relocation to new surroundings. This is particularly relevant because individuals living with dementia may thrive in environments that are familiar to them. Changes in setting can disrupt their routine and sense of security, potentially leading to increased disorientation or confusion. The transition to a new space can be overwhelming, and the loss of familiar cues can exacerbate the challenges associated with dementia. Understanding this aspect helps the nurse develop strategies that include minimizing disruptions and using familiar objects or routines to promote comfort and orientation.

In contrast, while familiar settings can sometimes help reduce confusion, this is not universally applicable to every situation, particularly with sudden changes. It is also important to understand that confusion in elderly individuals can be temporary and is not exclusively linked to dementia, as it can arise from various factors such as delirium, medication side effects, or other medical conditions. Furthermore, not all elderly clients have dementia, making it essential for the nurse to assess each client's needs individually rather than applying a blanket assumption based on age.

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All elderly clients have dementia

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