Oregon Certified Nursing Assistant State Practice Exam

How can an NA respond effectively to a resident who experiences sundowning?

1. Add more caffeine to the resident's diet

2. Set a bedtime routine and keep it

3. Restrict exercise during the day

4. Schedule activities during this time

The correct answer is: Set a bedtime routine and keep it

Setting a bedtime routine and maintaining consistency is a highly effective response for a resident experiencing sundowning. Sundowning refers to increased confusion, agitation, and restlessness that some individuals with cognitive impairments may experience during the late afternoon and evening hours. Establishing a calming bedtime routine can help signal to the resident that it is time to wind down and prepare for sleep, fostering a sense of security and stability. This routine might include activities such as dimming lights, engaging in quiet, soothing activities, or simple rituals like reading a book or listening to soft music, all of which can help ease anxiety and promote relaxation. Additionally, having a consistent schedule can help residents better anticipate what comes next, reducing feelings of uncertainty that can often exacerbate confusion or agitation in sundowning. By creating an environment conducive to rest and relaxation, caregivers can help the resident manage symptoms more effectively, providing a critical support structure during a challenging time of day.