A nurse is caring for a client who has dementia and is experiencing an increased number of falls.
Which of the following actions should the nurse take?

Choice A rationale

A fluctuating level of orientation is a hallmark sign of delirium. Delirium is characterized by an acute and fluctuating course of altered mental status, including changes in attention, awareness, and cognition.

Choice B rationale

A consistent state of depression is not indicative of delirium. While depression can affect mental status, it does not typically present with the acute, fluctuating changes seen in delirium.

Choice C rationale

Demonstrating obsessive behaviors is more characteristic of obsessive-compulsive disorder and does not typically indicate delirium.

Choice D rationale

Short-term memory loss can be a feature of many conditions, including dementia, but does not specifically indicate delirium, which is distinguished by its rapid onset and fluctuating nature. .

Choice A rationale

Codependency support groups are designed for individuals dealing with the effects of another person's addiction. While helpful for some, it might not specifically address the needs of someone with dual diagnoses.

Choice B rationale

Psychodrama involves role-playing techniques used to explore and solve personal problems, which may not be as effective as targeted dual diagnosis treatment for clients with both antisocial personality disorder and alcohol dependency.

Choice C rationale

Dual diagnosis treatment is specifically designed to address the simultaneous presence of a mental health disorder and substance use disorder. It provides an integrated approach to treatment that addresses both conditions simultaneously.

Choice D rationale

Behavioral therapy focuses on modifying harmful behaviors but may not address the complexities of co-occurring mental health and substance use disorders as effectively as dual diagnosis treatment.