Cognitive Reflection Test (CRT) Practice

How can nurses support cognitive ability in clients with Alzheimer disease?

1. Advising against the use of reminders and calendars

2. Encouraging caregivers to support safe independence and using visual aids

3. Promoting total dependence on caregivers to avoid confusion

4. Limiting all stimuli in the environment

The correct answer is: Encouraging caregivers to support safe independence and using visual aids

Nurses can significantly support cognitive ability in clients with Alzheimer’s disease by encouraging caregivers to promote safe independence and utilizing visual aids. Alzheimer’s disease often impacts memory and cognitive function, making familiar routines and visual cues essential. When caregivers help clients maintain some degree of independence, it fosters a sense of control and dignity, which can boost mental engagement and cognitive skills. Visual aids—such as labeled diagrams, pictorial schedules, or organized signage—enhance understanding and memory recall, enabling clients to better navigate their environments and daily routines. This approach not only supports cognitive functioning but also encourages social interaction and participation in daily activities, which are crucial for overall well-being. Promoting independence within safe boundaries allows clients to exercise their cognitive abilities and reinforces their self-esteem while still being supported by caregivers. This balance between independence and support is vital in managing Alzheimer’s effectively. In contrast, advising against the use of reminders and calendars does not leverage tools that can aid memory, promoting a more passive engagement with their environment. Encouraging total dependence would remove opportunities for cognitive exercise and may lead to further decline. Limiting stimuli in the environment might reduce confusion but can also lead to isolation and a lack of cognitive stimulation, which is detrimental in the long term.