An older adult with dementia wanders toward the hospital exit several times each day. Which nursing intervention is the priority?

Correct answer: B. Assess for unmet needs and provide a safe supervised walking area.

  • A. Apply physical restraints whenever the patient approaches the exit.
  • B. Assess for unmet needs and provide a safe supervised walking area.
  • C. Keep the patient in bed throughout the daytime hours.
  • D. Scold the patient so the behaviour will not be repeated.

Explanation

Safety is the priority, and wandering may reflect pain, toileting needs, boredom, or a search for a familiar place. Assessment and supervised activity are safer and less restrictive than restraints, isolation, or punishment.

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About Mental Health of Children and Older Adults

Mental health care for children and older adults requires age-appropriate assessment, communication, family involvement, and recognition of developmental changes. Coverage includes ADHD, autism spectrum disorder, childhood anxiety and depression, dementia, delirium, late-life depression, suicide risk, and the distinction between normal aging and cognitive disorder.

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