Cognitive Reflection Test (CRT) Practice

What conclusion should the nurse make regarding an older adult with mild Alzheimer disease?

1. The client must be supervised at all times

2. The client should not be allowed to drive

3. The client should be allowed to function independently if possible

4. The client needs constant cognitive stimulation

The correct answer is: The client should be allowed to function independently if possible

The conclusion that the client with mild Alzheimer disease should be allowed to function independently if possible recognizes the importance of promoting autonomy and dignity in individuals with cognitive impairments, especially in the early stages of the disease. While it is essential to monitor and support the safety of individuals with Alzheimer’s, in the mild stage, many can still perform daily activities and make decisions about their own lives. Encouraging independence can help maintain their self-esteem, cognitive function, and quality of life. Furthermore, older adults with mild Alzheimer's disease typically still retain some cognitive abilities and skills, enabling them to manage tasks such as personal care, social interactions, and certain daily activities. Allowing them to retain a level of independence can contribute positively to their overall wellbeing and may slow the progression of some cognitive decline. In contrast, the other options, although well-intentioned, could be overly restrictive. Constant supervision may lead to feelings of inadequacy or frustration. Similarly, while it’s important to assess driving ability carefully as the disease progresses, in the mild stage, the client may still have the capability to drive safely with appropriate assessments and guidelines in place. Lastly, while cognitive stimulation is beneficial, imposing constant stimulation may not be necessary or appropriate for someone in the mild stage, as they