Restorative CareQuestion 129 of 200

Which activity is MOST appropriate to offer a resident with moderate dementia who enjoyed gardening throughout her life?

a.Completing a 1000-piece jigsaw puzzle independently in the day room
b.A sensory activity such as planting seeds in a small pot with the CNA's hands-on assistance
c.Watching a fast-paced action movie alone in her room after lunch
d.Attending a three-hour lecture on horticulture with a group of other residents in the day room

Explanation

Therapeutic activities for residents with dementia should match retained abilities, draw on lifelong interests, and offer sensory engagement and success. Hands-on planting honors her identity and provides tactile, olfactory, and visual stimulation. A long lecture (d) exceeds attention span and causes frustration. Isolated movie watching (c) increases agitation and provides no engagement. A 1000-piece puzzle (a) is far beyond cognitive capacity and causes failure. 42 CFR §483.24 requires activities that maintain psychosocial well-being; 42 CFR §483.10 protects the right to make choices about activities.

Law Reference: 42 CFR §483.10; 42 CFR §483.24

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