A nurse is caring for a client who has dementia and insists a doll is her infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?

A. Cognitive reframing:

Cognitive reframing involves helping individuals change their perspective or interpretation of a situation to see it in a more positive or balanced light. While this technique can be helpful in various situations, it may not be suitable for addressing delusions or misconceptions in clients with dementia who firmly believe in their reality, such as the client who perceives a doll as her infant child.

B. Thought stopping:

Thought stopping is a cognitive-behavioral technique used to interrupt or stop intrusive or distressing thoughts. It typically involves mentally or verbally interrupting negative thoughts with a cue word or phrase. However, this technique may not be effective for addressing the belief of a client with dementia that a doll is her infant child because it does not acknowledge or validate the client's reality.

C. Validation therapy:

Validation therapy is a person-centered approach that acknowledges and validates the emotions and experiences of individuals with dementia, even if their perceptions do not align with objective reality. It involves empathetic listening, validation of emotions, and entering the individual's reality to provide comfort and support. This approach can help reduce agitation and distress in clients with dementia and foster a therapeutic connection between the client and the caregiver.

D. Operant conditioning:

Operant conditioning is a behavior modification technique based on the principles of reinforcement and punishment to strengthen or weaken behaviors. While it may be used to modify behaviors in some situations, it is not typically employed to address delusions or misconceptions in clients with dementia. Using operant conditioning techniques with a client who believes a doll is her infant child would not address the underlying emotional needs or provide therapeutic support for the client's reality.

To find out how many tablets the nurse should administer per dose, we need to divide the total daily dose (300 mg) by the dose strength per tablet (50 mg).

300 mg total daily dose / 50 mg per tablet = 6 tablets per day

Since the dose is divided equally every 8 hours, we divide the total daily dose by the number of times it is administered in a day:

6 tablets per day / 3 doses per day = 2 tablets per dose

So, the nurse should administer 2 tablets per dose