Cognitive Reflection Test (CRT) Practice

How should a nurse respond to a client in moderate dementia who asks for their deceased son?

1. "Here is a picture of your son."

2. "I understand, but he is not here right now."

3. "What did your son look like?"

4. "You shouldn't think about him too much."

The correct answer is: "What did your son look like?"

Responding with "What did your son look like?" is an effective approach because it engages the client in a way that validates their feelings and memories without confronting the reality of the situation. This choice encourages the client to reminisce about their son, allowing them to express their emotions and share memories. It creates an opportunity for connection and supports their cognitive needs by focusing on a topic that is significant to them. This response also maintains the dignity and emotional state of the client in moderate dementia, fostering a supportive environment rather than offering a dismissive or confusing answer. It prompts the client to engage in conversation, which can be comforting and grounding for someone experiencing memory loss. By asking about a familiar and cherished topic, the nurse can help the client feel heard and understood in their emotional expression.