Cognitive Reflection Test (CRT) Practice

What should a nurse do for an older resident with Alzheimer disease who hoards food in their pockets?

1. Confront the resident about their behavior

2. Provide a small bag for the resident to place selected personal articles and food

3. Remove the food items without explanation

4. Ignore the behavior as it is typical for dementia

The correct answer is: Provide a small bag for the resident to place selected personal articles and food

Providing a small bag for the resident to place selected personal articles and food is an appropriate response to the behavior of hoarding food in their pockets. This approach acknowledges the resident's actions and needs without creating confrontation or stigmatization. It offers a practical and respectful solution that allows the individual to have some control over their environment while satisfying their instinct to collect items. In the context of dementia, individuals may hoard food due to various reasons, including anxiety, a sense of loss of control, or a need for reassurance. By giving them a designated space (like a small bag) for their items, the nurse can help the resident feel more secure and supported, rather than shaming them for their behavior. This strategy also opens up avenues for further communication and engagement, allowing the nurse to understand the resident’s needs better. In contrast, confronting the resident could lead to distress or increased agitation, as individuals with Alzheimer’s may not fully understand the situation or the implications of their behavior. Similarly, simply removing items without explanation could trigger feelings of confusion or frustration. Ignoring the behavior does not address the underlying issues that may be contributing to the hoarding, thereby missing an important opportunity to offer support and reassurance to the resident.