Cognitive Reflection Test (CRT) Practice

What should the nurse do when an older adult with Alzheimer disease refuses assistance?

1. Insist on providing help to ensure safety

2. Respect the client's refusal and observe closely

3. Provide a detailed explanation of why assistance is needed

4. Offer incentives for accepting help

The correct answer is: Respect the client's refusal and observe closely

When an older adult with Alzheimer disease refuses assistance, respecting the client's refusal while observing closely is the most appropriate course of action. This approach acknowledges the individual's autonomy and right to make choices about their own care, which is particularly important in the context of cognitive conditions such as Alzheimer disease where patients may have fluctuating capacities. By respecting their wishes, the nurse fosters a sense of dignity and empowerment, which can be beneficial for the patient's overall well-being. Close observation allows the nurse to ensure that the individual's safety is not compromised while still honoring their preferences. This balance between respecting autonomy and ensuring safety is crucial in providing compassionate and effective care. Other approaches, such as insisting on help, providing detailed explanations, or offering incentives, may not only undermine the individual's sense of control but could also lead to increased resistance or distress. In situations involving patients with cognitive impairments, collaboration and respect for their feelings often lead to better outcomes for both the patient and the caregiver.