Cognitive Reflection Test (CRT) Practice

Which behavior might indicate that a client with dementia has impaired judgment?

1. Consistently following a daily schedule

2. Providing appropriate verbal responses

3. Making spontaneous and risky financial decisions

4. Following nursing directions accurately

The correct answer is: Making spontaneous and risky financial decisions

The behavior that indicates impaired judgment in a client with dementia is making spontaneous and risky financial decisions. In the context of dementia, impaired judgment can manifest in various ways, but when it comes to financial decisions, it often leads to choices that are impulsive and not well thought out. This may include spending large sums of money without considering the consequences, falling for scams, or making investments that are not appropriate for their situation. Such decisions demonstrate a lack of understanding and foresight, which are crucial components of sound judgment. In contrast, consistently following a daily schedule, providing appropriate verbal responses, and following nursing directions accurately are behaviors typically associated with an ability to comprehend and execute tasks effectively, signifying preserved cognitive functions in those areas.