What is the most appropriate action for a PN when an older male resident is found wandering the halls at 3:30 AM?

What is the most appropriate action for a PN when an older male resident is found wandering the halls at 3:30 AM?

• A. Provide the resident with a snack
• B. Bring the client to sit in the nursing station
• C. Return the client to bed immediately
• D. Engage the client in conversation

Answer: (B)

Bringing the client to sit in the nursing station is the most appropriate action because it prioritizes the safety and security of the resident. Wandering at night can indicate confusion or restlessness, which is not uncommon in older adults, especially those with cognitive impairments or conditions such as dementia. By bringing the resident to a central area like the nursing station, the nurse can monitor him closely, providing a sense of safety and reducing the risk of falls or injury. This setting also allows for immediate access to assistance from other staff members if needed, while creating an environment where the resident may feel more secure and comforted by the presence of others. Additionally, the nursing station typically has more light and a more structured environment, which can help orient the resident and potentially calm any anxiety associated with wandering. While providing a snack or engaging in conversation may seem supportive, they do not necessarily address the core issue of ensuring the resident's safety and may not be effective in de-escalating the situation. Returning the client to bed immediately could lead to additional confusion or distress, particularly if the resident is agitated or disoriented, making it a less suitable response in this scenario.

Bringing the client to sit in the nursing station is the most appropriate action because it prioritizes the safety and security of the resident. Wandering at night can indicate confusion or restlessness, which is not uncommon in older adults, especially those with cognitive impairments or conditions such as dementia. By bringing the resident to a central area like the nursing station, the nurse can monitor him closely, providing a sense of safety and reducing the risk of falls or injury.

This setting also allows for immediate access to assistance from other staff members if needed, while creating an environment where the resident may feel more secure and comforted by the presence of others. Additionally, the nursing station typically has more light and a more structured environment, which can help orient the resident and potentially calm any anxiety associated with wandering.

While providing a snack or engaging in conversation may seem supportive, they do not necessarily address the core issue of ensuring the resident's safety and may not be effective in de-escalating the situation. Returning the client to bed immediately could lead to additional confusion or distress, particularly if the resident is agitated or disoriented, making it a less suitable response in this scenario.