Cognitive Reflection Test (CRT) Practice

What action should a nurse consider for a daughter who admits to giving sleeping pills to her mother with dementia to prevent nighttime wandering?

1. Explore hiring a home health aide to stay with the client at night

2. Encourage the daughter to stop administering medication

3. Suggest the use of physical restraints during the night

4. Recommend increasing the dosage of sleeping pills

The correct answer is: Explore hiring a home health aide to stay with the client at night

The action involving exploring the option of hiring a home health aide to stay with the client at night is appropriate because it addresses the underlying issue of nighttime wandering in a safer and more ethical manner. By providing dedicated care during the night, a home health aide can help ensure the mother’s safety without resorting to medication that may not be appropriate or could have harmful side effects, especially in individuals with dementia. This approach also allows for continuous supervision and support, which can lead to better overall care. Additionally, it respects the mother's autonomy and health needs, which may be compromised by the inappropriate use of sleeping pills. Engaging a professional caregiver can create a structured environment that can mitigate the risks associated with wandering while fostering a safer living situation.