Cognitive Reflection Test (CRT) Practice

What topic might prompt a follow-up from the charge nurse during a discussion with a client who has Lewy body dementia?

1. Memories from young adulthood

2. Plans for upcoming holidays

3. Recent days

4. Family history of cognitive disorders

The correct answer is: Recent days

In the context of discussing a client with Lewy body dementia, focusing on recent days is particularly relevant. This form of dementia is characterized by fluctuations in cognition, attention, and alertness, which can result in varying degrees of awareness and memory retention over brief periods. Talking about recent days allows the charge nurse to gauge the client's current mental state, cognitive function, and any recent changes in behavior or mood. It provides an opportunity to assess how well the client can engage with the present moment, which is crucial for understanding their condition and tailoring care strategies accordingly. Discussing topics like memories from young adulthood or plans for upcoming holidays may not be as effective, as individuals with Lewy body dementia may struggle with recalling past events accurately and may not reliably project future plans due to cognitive fluctuations. Family history of cognitive disorders could be important but less directly relevant to the immediate care conversations that focus on the client's current experience and functioning.