Cognitive Reflection Test (CRT) Practice

For a patient with Alzheimer’s disease, how should a nurse address difficulty with tasks such as dressing?

1. Provide step-by-step instructions verbally

2. Encourage the patient to try independently

3. Limit input to prevent overwhelming the patient

4. Allow the patient to use any clothing available

The correct answer is: Provide step-by-step instructions verbally

Providing step-by-step instructions verbally is an effective approach for assisting a patient with Alzheimer's disease who experiences difficulty with tasks such as dressing. This method can help to enhance comprehension and support the patient's cognitive functioning, which is essential as Alzheimer's can impair memory and the ability to follow complex directions. When using verbal instructions, the nurse can break down the dressing process into manageable steps, using simple language and clear, concise commands. This can reduce confusion and make the task feel less daunting, which is particularly important as individuals with Alzheimer's may struggle to process multiple instructions at once. Verbal prompts can also provide reassurance and facilitate a sense of accomplishment as the patient successfully follows each step. While encouraging independence, limiting input, or allowing the use of any clothing may seem supportive, these strategies might not effectively address the specific challenges faced by individuals with cognitive impairments. Instead, a structured approach that provides clear guidance helps maintain the patient's dignity while fostering a sense of competence in managing daily tasks.