Alzheimer’s Delirium and Dementia Q 62
Which activity would be most appropriate for a severely withdrawn client?
A. Art activity with a staff member
B. Board game with a small group of clients
C. Team sport in the gym
D. Watching TV in the dayroom
Correct Answer: A. Art activity with a staff member.
The best approach with a withdrawn client is to initiate brief, non-demanding activities on a one-to-one basis. This approach gives the nurse an opportunity to establish a trusting relationship with the client. When the client is in the most depressed state, Involve the client in one-to-one activity; maximizes the potential for interactions while minimizing anxiety levels. Give positive feedback after a task is achieved. Positive reinforcement has a big part in building self-esteem.
Option B: Eventually involve the client in group activities (e.g., group discussions, art therapy, dance therapy). Socialization minimizes feelings of isolation. Genuine regard for others can increase feelings of self-worth. Allow the patient to engage in simple recreational activities, advancing to more complex activities in a group environment. The patient may feel overwhelmed at the start when participating in a group setting.
Option C: Playing a team sport in the gym may overwhelm a severely withdrawn client. Eventually maximize the client’s contacts with others (first one other, then two others, etc.). Contact with others distracts the client from self-preoccupation. Encourage the client to participate in a group therapy where the members share the same situations/feelings that they have to minimize the feelings of isolation and provide an atmosphere where positive feedback and a more realistic appraisal of self are available.
Option D: Watching TV is a solitary activity that will reinforce the client’s withdrawal from others. Involve the client in gross motor activities that call for very little concentration (e.g., walking). Such activities will aid in relieving tensions and might help in elevating the mood. Involve the client in activities that he or she wants to improve by using problem-solving skills. Assess and evaluate the need for more teaching in this area. Feelings of low self-esteem can interfere with usual problem-solving abilities.