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Personal Support Worker Practice · Question

What is the best way to respond to a client with dementia who is confabulating (making up stories)?

Gently redirecting the conversation without directly contradicting or arguing with a client's confabulations helps maintain their dignity and reduces agitation.

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Question: What is the best way to respond to a client with dementia who is confabulating (making up stories)?

Answer options:

  • Correct them immediately and firmly
  • Engage with the story as if it were true ✅ Change the topic gently without challenging the story directly
  • Ask them to recall the true events

Correct answer: Change the topic gently without challenging the story directly

Explanation: Gently redirecting the conversation without directly contradicting or arguing with a client's confabulations helps maintain their dignity and reduces agitation.

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