Practice Question
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Answer Choices:
Correct Answer:
Install sensor devices on outside doors.
Rationale:
Install sensor devices on outside doors
🔹 Wandering is a common behavior in Alzheimer’s disease; sensor devices provide early alerts to caregivers when the client attempts to leave the house.
🔹 This measure enhances safety and supervision, reducing the risk of falls or getting lost.
🔹 Caregivers should be educated on ensuring quick access to the client once alarms are triggered.
Position the mattress on the floor
🔹 Placing the mattress directly on the floor lowers the risk of serious injury if the client falls while getting in or out of bed.
🔹 This intervention is particularly important for clients with a history of falls or nocturnal wandering.
🔹 It is a non-restrictive safety intervention, aligning with best practices in fall prevention for cognitively impaired patients.
Put locks at top of doors
🔹 Placing locks at the top of doors (out of the client’s line of sight) helps prevent elopement since Alzheimer’s clients often fail to look up for locks.
🔹 This is a non-invasive safety measure that helps prevent wandering outside, which could lead to accidents or exposure to harsh environments.
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This question is from RN Mental Health 2023(Summer ~2025) which contains 70 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 5