An 82-year-old client with moderate Alzheimer's disease is admitted to a nursing home. The client is restless at night, frequently wandering the halls, and sleeps for only short periods. Which intervention should the nurse implement first to promote improved sleep patterns?

Question: An 82-year-old client with moderate Alzheimer's disease is admitted to a nursing home. The client is restless at night, frequently wandering the halls, and sleeps for only short periods. Which intervention should the nurse implement first to promote improved sleep patterns?

Answer options:

• Administer a prescribed sedative at bedtime.
• Encourage daytime napping to conserve energy. ✅ Establish a consistent bedtime routine and environment.
• Restrict fluid intake after dinner to reduce nocturia.

Correct answer: Establish a consistent bedtime routine and environment.

Explanation: Establishing a consistent and predictable routine, especially at bedtime, is often the most effective non-pharmacological first approach for clients with dementia to improve sleep. It helps orient the client and signals rest time, reducing nighttime restlessness.