Restorative CareQuestion 129 of 200

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

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

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 (b) exceeds attention span and causes frustration. Isolated movie watching (c) increases agitation and provides no engagement. A 1000-piece puzzle (d) 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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