Certified Hospice and Palliative Assistant (CHPNA) Practice Test

Which approach maximizes night safety for persons with dementia?

1. Encouraging daytime sleep and stimulating activities

2. Providing continuous medical supervision

3. Minimal stimulation and discouraging sleep during daytime hours

4. Increased isolation during nighttime hours

The correct answer is: Minimal stimulation and discouraging sleep during daytime hours

Maximizing night safety for persons with dementia involves creating an environment that reduces confusion and promotes a sense of security during the evening and nighttime hours. The chosen approach entails minimizing stimulation at night and discouraging sleep during the daytime. This strategy is effective because individuals with dementia may experience heightened confusion and anxiety when surrounded by too much activity or noise, especially at night. By lowering the level of stimulation in the evening, caregivers can help individuals feel more calm and settled, which can lead to better sleep patterns at night. Additionally, encouraging engagement and activity during the day can help keep individuals alert and active, reducing the likelihood of excessive daytime napping that might disrupt nighttime rest. In contrast, other approaches may not address the unique needs of persons with dementia. For instance, encouraging daytime sleep or providing continuous medical supervision might not establish the necessary environmental cues important for establishing a consistent day-night cycle. Additionally, increased isolation at night could exacerbate feelings of confusion or anxiety, further compromising safety and comfort. Overall, minimizing nighttime stimulation and appropriately managing daytime activities optimally supports the well-being and safety of individuals with dementia during the night.