Which action should be included in the plan of care for a client with dementia?

• A. Isolate the patient to reduce stimulation
• B. Use restraints as needed
• C. Allow a highly variable schedule
• D. Provide consistent daily routine

Answer: (D)

Providing a consistent daily routine is central because dementia disrupts memory and orientation. A stable schedule for meals, activities, bathing, and sleep gives predictable cues, reduces confusion, and lowers agitation and distress. It also supports safety, as both patient and caregiver know what to expect and can plan ahead. In contrast, isolation, restraints, or a highly variable schedule increase fear, disorientation, and risk of injury, and can worsen behavioral symptoms. So the plan should emphasize a regular, predictable routine with gentle consistency while remaining flexible to individual preferences and abilities.