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Dementia & Cognitive Impairment

Julia, who is caring for Mrs. Smith, allows Mrs. Smith to talk about her husband, who passed away several years ago, as if he is still alive. This is an example of:

From CNA Exam Ohio Questions

Answer choices

  1. A validation therapy
  2. B redirection
  3. C reminiscence therapy
  4. D reality orientation

Correct answer: A. validation therapy

Clinical Rationale

Julia's approach is an example of validation therapy.

Validation therapy is a technique that acknowledges and supports an elderly person's feelings and memories, allowing them to express themselves freely, even if it involves discussing deceased loved ones as if they were still alive. This method helps validate the individual’s emotions and can provide comfort.

A) validation therapy

This choice accurately describes Julia's actions as she permits Mrs. Smith to discuss her late husband in a way that honors her feelings and memories. Validation therapy emphasizes understanding and acceptance of the older adult’s perspective, facilitating emotional connection and comfort during moments of grief.

B) redirection

Redirection involves changing the subject or guiding the individual away from distressing topics to prevent anxiety or discomfort. In this scenario, Julia does not redirect Mrs. Smith's conversation about her husband; instead, she embraces it, making this choice incorrect as it does not reflect her supportive approach.

C) reminiscence therapy

While reminiscence therapy involves discussing past experiences and memories, it is generally more structured and focused on life review. Julia's approach is not about structured recollection but rather about validating Mrs. Smith’s feelings about her current emotional state, making this option less applicable.

D) reality orientation

Reality orientation aims to help individuals with cognitive impairments stay grounded in the present by providing information about time, place, and identity. Julia’s acceptance of Mrs. Smith's perspective does not seek to correct her understanding of reality but rather supports her emotional needs, thus making this choice inappropriate.

Conclusion

Julia’s supportive technique of allowing Mrs. Smith to discuss her late husband as if he were still alive exemplifies validation therapy. This approach fosters emotional acceptance and connection, contrasting with redirection, reminiscence therapy, and reality orientation, which serve different therapeutic purposes. By validating Mrs. Smith's feelings, Julia effectively nurtures her emotional well-being.

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