Cognitive Reflection Test (CRT) Practice

Which intervention can be included in care for a client with dementia who wanders?

1. Encourage loud music to stimulate the client

2. Ensure family members monitor the client's activity

3. Provide frequent unsupervised time outdoors

4. Limit the use of personal belongings in the facility

The correct answer is: Ensure family members monitor the client's activity

The inclusion of family members to monitor the client's activity is a beneficial intervention for a client with dementia who wanders. Family members often have a deeper understanding of the person’s habits, triggers, and preferences. Their involvement can help create a safer environment, as they can assist in observing when wandering occurs, identifying patterns, and potentially redirecting the individual before wandering escalates. Additionally, family presence can provide emotional comfort to the client, which may reduce anxiety and the impulse to wander. Although monitoring by family is essential, it's also vital to establish a comprehensive plan that ensures safety while accommodating the client’s needs for independence and exploration.