Alzheimer’s Delirium and Dementia Q 36
Rosana is in the second stage of Alzheimer’s disease who appears to be in pain. Which question by Nurse Jenny would best elicit information about the pain?
A. “Where is your pain located?”
B. “Do you hurt? (pause) “Do you hurt?”
C. “Can you describe your pain?”
D. “Where do you hurt?”
Correct Answer: B. “Do you hurt? (pause) “Do you hurt?”
When speaking to a client with Alzheimer’s disease, the nurse should use close-ended questions. Those that the client can answer with “yes” or “no” whenever possible and avoid questions that require the client to make choices. Repeating the question aids comprehension. Alzheimer’s disease and other dementias gradually diminish a person’s ability to communicate. Communication with a person with Alzheimer’s requires patience, understanding, and good listening skills.
Option A: Alzheimer’s, sometimes referred to as moderate Alzheimer’s, is typically the longest and can last for many years. As the disease progresses, the person will have greater difficulty communicating and will require more direct care. Ask yes or no questions. For example, “Would you like some coffee?” rather than “What would you like to drink?” Ask one question at a time.
Option C: Engage the person in one-on-one conversation in a quiet space that has minimal distractions. Speak slowly and clearly. Give the person plenty of time to respond so he or she can think about what to say. Be patient and offer reassurance. It may encourage the person to explain his or her thoughts.
Option D: Maintain eye contact. It shows you care about what he or she is saying. Offer clear, step-by-step instructions for tasks. Lengthy requests may be overwhelming. Avoid criticizing or correcting. Instead, listen and try to find the meaning in what the person says. Repeat what was said to clarify.