What is a key focus of the nurse when discussing Alzheimer's disease with the client’s spouse?

Focusing on changes in behavior and personality is crucial when discussing Alzheimer's disease with the client's spouse, as these alterations can significantly impact the patient’s interactions and daily functioning. Individuals in advanced stages of Alzheimer's often exhibit behavioral changes such as mood swings, aggression, withdrawal, or confusion. These changes can be distressing for both the patient and the caregiver, leading to challenges in managing the relationship and ensuring effective communication.

By emphasizing the behavioral and personality shifts that accompany the disease, the nurse can help the spouse understand that these changes are a direct result of the disease process rather than personal issues or character flaws of the patient. This approach not only aids in creating realistic expectations about the progression of the disease but also prepares the spouse for the emotional journey involved in caregiving. Additionally, it facilitates discussions about coping strategies and support systems that can be put in place to assist them in managing these changes effectively.