The nurse is caring for a patient with moderate Alzheimer disease (AD) in a long-term care facility who "sundowns." The nurse understands that which action would be most beneficial for this patient?
a. Scheduling social interaction activities in the morning.
b. Darkening the bedroom to encourage sleep.
c. Administering sedatives to enhance sleep initiation.
d. Scheduling an exercise program after supper.
A
Sundowning occurs when a patient is completely oriented during the day but becomes dis-oriented and confused during the evening and night hours. Planning interactive activities when the resident is not confused is beneficial. Exercise programs at night would add to agitation and confusion. Sedatives also frequently cause confusion. Lights should be left on to assist with reo-rientation should the resident wake up at night.
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