Cognitive Reflection Test (CRT) Practice

How should a nurse address a client with Alzheimer’s who is feeling anxious upon entering a new facility?

1. Encourage the client to express their fears

2. Explain the facility rules and regulations

3. Reassure the client with the presence of 1 or 2 staff members

4. Redirect the client’s attention to activities

The correct answer is: Reassure the client with the presence of 1 or 2 staff members

When addressing a client with Alzheimer’s who is feeling anxious upon entering a new facility, reassuring the client with the presence of one or two staff members is particularly effective because it directly addresses their immediate emotional needs. Anxiety in individuals with Alzheimer’s can be heightened in unfamiliar environments due to their cognitive decline and inability to process new surroundings. Having one or two staff members present offers a sense of security and familiarity amidst the change. This approach helps create a comforting atmosphere, allowing the client to feel less isolated and more supported. Staff members can provide not only companionship but also guidance, helping the client navigate their new environment, which can significantly reduce anxiety. Additionally, while encouraging expression of fears, explaining rules, or redirecting attention may have their merits, they may not provide immediate comfort. Engagement from staff can be a more immediate and practical intervention, fostering trust and promoting a sense of safety as the client adjusts to their new surroundings.