Cognitive Reflection Test (CRT) Practice

What should the nurse prioritize when caring for a patient newly diagnosed with Alzheimer's disease?

1. Establishing a daily routine for the patient

2. Administering antipsychotic medications as needed

3. Ensuring the patient has access to social media

4. Limiting interaction with family to avoid confusion

The correct answer is: Establishing a daily routine for the patient

Establishing a daily routine for a patient newly diagnosed with Alzheimer's disease is essential in providing structure and predictability, which can help reduce anxiety and confusion. A consistent daily schedule allows patients to engage in familiar activities and helps them manage their cognitive deficits effectively. Familiar routines can also minimize the impact of memory loss on their daily lives, allowing them to feel more secure and competent. In Alzheimer's care, routines support better functioning by enhancing independence where possible, and they can also help caregivers manage daily tasks more efficiently. A stable environment and repetitive activities can promote a sense of normalcy and support cognitive functioning by creating a rhythm that the patient can follow, which is particularly important as they face the challenges of their diagnosis. Other options, while they may have some merit in different contexts, do not prioritize the immediate needs related to the diagnosis and management of Alzheimer's in the same way that a routine does. Administering antipsychotic medications requires careful consideration and is generally more relevant for addressing specific behavior issues rather than foundational care goals. Access to social media can be beneficial for engagement but is not as crucial as establishing a coherent routine. Limiting interaction with family can lead to isolation and increased confusion, which is counterproductive to the supportive strategies that are most beneficial