Home Health Aide Practice Exam

When a client with Alzheimer's disease perseverates (repeats questions or phrases over and over), the HHA should:

1. Ignore the client

2. Change the subject quickly

3. Repeat herself using the same words

4. Respond with frustration

The correct answer is: Repeat herself using the same words

When a client with Alzheimer's disease perseverates, repeating questions or phrases, the best approach is to respond by repeating oneself using the same words. This strategy is effective because it provides the client with the reassurance and consistency they seek, which is especially important for individuals with cognitive impairments. By calmly reiterating the same information, the Home Health Aide (HHA) helps to validate the client’s feelings and may reduce their anxiety or confusion. Repetition in this context can also serve to anchor the client in the present moment, as it reinforces a sense of stability and familiarity. This method acknowledges the reality of their experience while attempting to ease their distress. It is beneficial for caregivers to maintain a gentle and patient demeanor in these situations, as patients with Alzheimer's may not be able to recall previous interactions or might simply need extra time and reassurance to process their thoughts. Other strategies, such as changing the subject or ignoring the client, might lead to increased frustration or anxiety in the client, as they may feel unheard or unacknowledged. Responding with frustration is counterproductive and can exacerbate challenging behaviors, as it can create a negative environment for the client. Hence, repeating oneself using the same words is the most constructive approach.