Exam Guide

Improving Meal Intake for a Client With Dementia

Physiologic Needs · Question from the ATI PN Fundamentals 2023 Proctored Exam study set

Question: A nurse is caring for an older adult client who has dementia and difficulty with oral intake at mealtime. Which action should the nurse take?
Offer the client finger foods at mealtime

Correct answer: Offer the client finger foods at mealtime

Why this is the answer

Finger foods support independence and are easier for a client with cognitive impairment to self-feed, which typically improves overall intake.

The bigger concept

Nutrition items for cognitively impaired clients reward interventions that preserve independence and reduce complexity. Finger foods, one item at a time, plain plates, minimal distraction, and eating alongside the client all increase intake more than hand-feeding or supplements alone. The PN/VN monitors weight weekly and reports declining intake or weight loss to the RN and dietitian.

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