Cognitive Reflection Test (CRT) Practice

Which behavior might indicate a need for increased supervision in a client with Alzheimer disease?

1. Consistently completing meals

2. Frequent sleeping during the day

3. Wandering around at night

4. Participating in group activities

The correct answer is: Wandering around at night

The behavior of wandering around at night in a client with Alzheimer's disease may indicate a need for increased supervision. This behavior can suggest confusion and disorientation, which are common characteristics of Alzheimer's. Clients with this condition may become more agitated or anxious in the evening, leading to a phenomenon known as "sundowning." As a result, their wandering can put them at risk for falls, getting lost, or encountering unsafe situations in their environment. Increased supervision can help ensure the safety of the individual and help manage their nighttime confusion. In contrast, consistently completing meals, frequent sleeping during the day, and participating in group activities generally do not indicate the same level of risk and may even suggest a degree of stability or engagement in daily routines. These behaviors are less likely to necessitate increased supervision compared to wandering, which directly correlates with safety concerns.