Restorative CareQuestion 127 of 200
A resident with moderate Alzheimer's dementia insists she must 'go pick up the children from school' although her children are grown. Which response BEST uses validation therapy?
a.Tell her firmly that her children are adults and she is confused
b.Show her a calendar and quiz her about the year and day
c.Acknowledge her feelings: 'You really care about your children. Tell me about them,' then gently redirect
d.Ignore the statement and continue with her bath
Explanation
Validation therapy (Naomi Feil) honors the emotional reality behind the words rather than correcting facts. The CNA acknowledges the underlying feeling (love for her children) and offers reminiscence and gentle redirection. Direct contradiction (a) increases agitation. Reality orientation (b) is appropriate only in early dementia or delirium; in moderate-to-severe dementia it causes distress. Ignoring (d) is dismissive and may be psychological neglect under 42 CFR §483.12. 42 CFR §483.40 requires behavioral health services that meet each resident's needs.
Law Reference: 42 CFR §483.40; Title 22 CCR §72315Practice all 200 questions free — no signup required.
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