Cognitive Reflection Test (CRT) Practice

What is the highest priority action for a nurse caring for a client experiencing delirium?

1. Administer prescribed medications immediately

2. Creating a calm and safe environment

3. Provide psychological support

4. Encourage family visits

The correct answer is: Creating a calm and safe environment

Creating a calm and safe environment is crucial when caring for a client experiencing delirium. Delirium often involves confusion, agitation, and changes in cognition, which can be exacerbated by environmental stressors. A calm and safe space helps to minimize external stimuli that can overwhelm the patient, thereby reducing agitation and confusion. This approach also assists in preventing potential harm, as clients with delirium may have impaired judgment and mobility, which can lead to falls or other accidents. By focusing on creating a supportive environment, the nurse can promote comfort, facilitate better communication, and allow the client to feel secure, which is essential for their overall wellbeing during this critical time. While administering medications, providing psychological support, and encouraging family visits are relevant components of care, they are secondary to the immediate need for a stable and quiet environment, which lays the foundation for recovery and effective intervention.