A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?

A. Implementing stress management workshops for employees in a workplace. This is a form of primary prevention, as it aims to prevent the development of mental health issues by reducing stress and promoting well-being among employees before problems arise . Therefore, this choice is incorrect.

B. Promoting mental health awareness and education in the community. This is another form of primary prevention. It aims to increase knowledge and awareness to prevent the onset of mental health issues by educating the public on how to maintain mental wellness and identify early signs of mental health problems . Therefore, this choice is incorrect.

C. Providing counseling and therapy to individuals with diagnosed mental health disorders. This is an example of tertiary prevention. It involves managing and treating existing mental health disorders to prevent further deterioration and to help individuals achieve the highest possible level of functioning and quality of life . This choice is correct.

D. Conducting mental health screenings in schools to identify students at risk for mental health issues. This represents secondary prevention, as it focuses on early identification and intervention for individuals at risk of developing mental health issues, aiming to prevent the progression of the disorder. Therefore, this choice is incorrect.

A. Stand directly in front of the client when talking. Standing directly in front of a client with a history of anger and aggression can be perceived as confrontational and may escalate the situation. It's better to stand at an angle and maintain an open posture to appear less threatening. Therefore, this choice is incorrect.

B. Avoid wearing necklaces during client care. Wearing necklaces or other loose jewelry can pose a safety risk if a client becomes aggressive and grabs them. Avoiding such items is a precaution to prevent potential harm. This choice is correct.

C. Provide immediate verbal feedback for escalating behavior. Providing immediate verbal feedback is important to de-escalate aggressive behavior by addressing it promptly and setting clear boundaries. This helps in managing the client's behavior effectively. This choice is correct.

D. Bring security with you for all client interactions. While bringing security can be necessary in certain high-risk situations, it is not appropriate or practical for all interactions and can increase the client's anxiety or aggression. Instead, security should be involved based on risk assessment and the specific context. Therefore, this choice is incorrect.

E. Review the layout of the facility. Knowing the layout of the facility is important for ensuring safety and planning escape routes if a situation becomes unsafe. It helps staff navigate the environment efficiently in case of an emergency. This choice is correct.