What intervention is most appropriate for a spouse of a client with Alzheimer's who is experiencing stress and agitation from the client's behaviors?

Training the spouse to provide simple, one-step directions and avoid abstractions is highly appropriate for addressing the stress and agitation the spouse is experiencing due to the behaviors of their loved one with Alzheimer's disease. Individuals with Alzheimer's often struggle with complex instructions and abstract concepts due to cognitive decline. When the spouse is equipped with skills to offer clear, straightforward directions, it can help minimize confusion for the client, which in turn can reduce stress for both the spouse and the client. This approach promotes effective communication and fosters a supportive environment, allowing the spouse to feel more confident in managing daily interactions with the client.

The other options do not directly target the immediate needs of the client with Alzheimer's or the spouse's ability to communicate effectively. Role playing can be beneficial but may not directly address the specific issue of simplifying communication needed in daily caregiving. Conflict resolution sessions might be more suited to interpersonal disputes rather than enhancing communication and understanding related to cognitive issues. Assertiveness training could help the spouse express their feelings but does not specifically address the challenge of communicating effectively with a loved one who has dementia. Thus, the training in straightforward communication is the most direct and practical intervention for alleviating stress and agitation.