Cognitive Reflection Test (CRT) 2025 – 400 Free Practice Questions to Pass the Exam

The most effective initial intervention for an older adult with delirium who is exhibiting acting-out behaviors is to provide one simple direction at a time in a firm, low-pitched voice. This approach aligns with the needs of individuals experiencing delirium, as they often struggle with confusion and can easily become overwhelmed by complex information. Using simple, clear instructions helps to reduce cognitive load and minimizes frustration, making it more likely that the person will understand and follow the guidance provided.

Using a low-pitched voice can also help to convey a sense of calm and authority, which can be reassuring for someone who may be feeling anxious or disoriented. The predictability of receiving one instruction at a time supports the older adult's ability to process information without becoming overstimulated.

Implementing this intervention respects the vulnerabilities associated with delirium, focusing on creating a supportive environment that prioritizes clarity and calmness.