NCLEX RN Practice Question

Restlessness and confusion in the late afternoon, often referred to as 'sundowning,' are common in clients with Alzheimer's disease. The provision of a quiet, well-lit environment is the most effective intervention as it minimizes sensory overstimulation and reduces shadows that might contribute to increased confusion. Redirecting attention using sensory stimulation activities is generally more appropriate for earlier parts of the day to avoid overstimulating the client in the evening. Encouraging independent problem solving is unsuitable for clients with cognitive impairments since their ability to effectively concentrate and solve problems is diminished. Minimizing all forms of interaction isolates the client and neglects the need for comfort-oriented communication, which is essential for their psychological well-being.