Cognitive Reflection Test (CRT) Practice

Which technique should a nurse apply for a client with dementia showing anxiety and poor hygiene?

1. Encourage the client to clean themselves independently

2. Direct staff members to reinforce reality as needed

3. Use calming techniques such as meditation

4. Discuss feelings of anxiety in detail with the client

The correct answer is: Direct staff members to reinforce reality as needed

The choice of reinforcing reality for a client with dementia who is exhibiting anxiety and poor hygiene is grounded in the understanding of how individuals with dementia process information. Clients with dementia may struggle to understand their surroundings and may become easily confused or agitated. By directing staff members to reinforce reality as needed, the nurse helps provide a structured environment for the client. This approach can minimize confusion and anxiety by consistently reminding the client of their current situation and the appropriate behavior expected of them. Providing consistent reality reinforcement can also promote a sense of safety and stability, which is crucial for individuals experiencing cognitive decline. This method supports the cognitive and emotional well-being of the client, as frequent reminders of reality can help reduce feelings of distress or anxiety associated with their condition. It can create a soothing atmosphere that calms their anxiety without overwhelming them with complex discussions about their feelings or encouraging them to take on tasks that may be too challenging. While the other choices may have merit in different contexts, they may not be as effective for this particular situation. Encouraging the client to clean themselves independently might be overwhelming and lead to further anxiety. Utilizing calming techniques may be beneficial, but it doesn't address the specific cognitive challenges the client faces. Discussing feelings of anxiety in depth could potentially confuse or overwhelm