Cognitive Reflection Test (CRT) Practice

What activity should the nurse initiate for a client with Alzheimer disease in a long-term care facility?

1. Weigh the client monthly

2. Encourage daily exercise without breaks

3. Establish a schedule with periods of rest after activities

4. Organize group outings every week

The correct answer is: Establish a schedule with periods of rest after activities

In the context of caring for a client with Alzheimer's disease, establishing a schedule with periods of rest after activities is particularly beneficial. This approach recognizes that individuals with Alzheimer's may experience cognitive and physical fatigue more quickly than others. By incorporating structured activities followed by designated rest periods, the nurse can help manage the client's energy levels and prevent overwhelm, which can lead to increased confusion and agitation. Additionally, this method supports the client's need for routine, which can provide a sense of security and stability, essential factors in managing the symptoms of Alzheimer's. Consistent scheduling aids in orientation and enables the client to anticipate what comes next, reducing anxiety and enhancing engagement in the activities. While encouraging daily exercise and organizing group outings can also be valuable for maintaining physical and social engagement, they may not always account for the individual’s pacing needs. Continuous exercise without breaks might lead to exhaustion, and while group outings can stimulate social interaction, they might overwhelm a client if not properly balanced with rest. Weighing the client monthly is essential for health monitoring but does not directly address the immediate care needs related to the cognitive and emotional well-being of someone with Alzheimer's. Therefore, the most holistic and considerate approach involves a structured schedule that balances activity with rest.