Mrs. Jones, 86 years old, has mild dementia and lives in an apartment with her husband. Her treatment plan includes daily
donepezil hydrochloride (Aricept), daily low dose of loxapine (Loxapac), and 15 mg of oxazepam (Serax) p.r.n. The community gerontological team organizes in-home services, and intervention is coordinated by the psychiatric and mental health nurse case manager. In the late afternoon, Mrs. Jones becomes increasingly distressed and states that she feels her body is burning and she is very frightened of everyone. What should the psychiatric and mental health nurse do first?
A. Refer her to physician for evaluation B. Assist her to set her own pace for activities
C. Provide quiet, soft lit, environment
D. Teach relaxation