Cognitive Reflection Test (CRT) Practice

What intervention should be implemented for a client who is confused and delirious?

1. Allow the client to choose their activities

2. Direct the client's daily activities

3. Involve family members in decision-making

4. Provide materials for self-directing tasks

The correct answer is: Direct the client's daily activities

In the context of managing a client who is confused and delirious, directing the client's daily activities serves several important functions. It provides structure and helps reduce anxiety, which is particularly beneficial for individuals experiencing confusion. This approach can assist in minimizing overwhelming choices and ensuring the client engages in appropriate activities that are safe and suited to their current cognitive function. Delirium often impairs judgment and decision-making abilities, making it difficult for the individual to prioritize or discern what activities are suitable. By directing their activities, caregivers can ensure that the client’s needs are met, mitigate the risk of accidents, and foster a sense of security in an otherwise disorienting environment. This structured approach contrasts with allowing the client to choose their activities, as it may lead to further confusion or decision fatigue. Involvement of family members in decision-making can be supportive, but the immediate priority is the client's safety and stability, which directing daily activities achieves. Providing materials for self-directing tasks may not be as effective when cognitive abilities are compromised due to delirium, as this can lead to frustration rather than empowerment.