CNA Certification (Written Exam)Communication and Psychosocial NeedsMedium
A resident with dementia becomes increasingly confused, restless, and agitated every day around 4:00–5:00 PM. This pattern is best known as:
- ASundowning, and the nurse aide should maintain good lighting and a calm, consistent routine
- BNormal aging, and no action is needed
- CA behavior that requires physical restraints for safety
- DA sign of severe pain requiring immediate unauthorized medication
Show answer & explanationAnswer & explanation
Correct answer: A. Sundowning, and the nurse aide should maintain good lighting and a calm, consistent routine
Sundowning refers to increased confusion and agitation in the late afternoon or evening common in dementia residents. Maintaining a calm environment, adequate lighting, and consistent routines can help reduce symptoms.
Why the other options are wrong
- B. This is not simply normal aging and should be addressed with supportive care.
- C. Restraints are not an appropriate response to behavioral symptoms.
- D. Aides cannot give medication, and pain is not the defined cause of sundowning.
Sundowning
Increased confusion, restlessness, or agitation in dementia residents that typically occurs in the late afternoon or evening.
- Common in moderate to severe dementia
- Triggered by fatigue, low light, or disrupted routine
- Managed with lighting, routine, and calm environment
Memory trick: As the sun goes down, confusion goes up — keep lights on and routines steady.