The nurse is assessing an older adult for signs of dementia using the “mini-cog” dementia assessment tool. The nurse gives the client three words to remember: “cat,” “crackers,” and “toys.” After...

The nurse is assessing an older adult for signs of dementia using the “mini-cog” dementia assessment tool. The nurse gives the client three words to remember: “cat,” “crackers,” and “toys.” After having the client perform a short task, the nurse asks the client to repeat the words. The client says “toys,” “boys,” and “joys.” The nurse should next:

1. Ask the client to repeat the original words one more time.

2. Note on the chart that the client has echolalia.

3. Refer the client to a health care provider for further follow-up.

4. Repeat the test when a family member is present.