How should you respond to a resident who becomes agitated due to cognitive impairment?

• A. Approach calmly with simple instructions, provide reassurance, redirect to a calm activity, and involve the nurse if needed.
• B. Speak firmly and demand immediate quiet, move away from the resident, and call for security if agitation escalates.
• C. Tell the resident to stop complaining and leave them alone until calm.
• D. Quickly administer comforting medications without telling the resident.

Answer: (B)

When someone with cognitive impairment becomes agitated, the goal is to calm the situation without triggering a defensive response. Start with a gentle, steady presence: approach slowly, speak in a calm, clear voice, and use simple instructions one step at a time. Offering reassurance and acknowledging their feelings helps them feel understood rather than dismissed. If possible, redirect the person to a familiar or calming activity to shift focus away from the agitation. Involve the nurse if the agitation persists or safety concerns arise, as they can assess medical needs or adjust care. Avoid arguing, shouting, or demanding quiet, and never administer medications or approve treatments without proper orders and consent. Keeping the environment peaceful, checking for triggers (pain, hunger, bathroom needs, or overstimulation), and using nonverbal calm cues all support de-escalation.