A nurse is caring for patient with dementia whose family says they wander at night. Nursing action?

• A. Put personal items within their reach
• B. Lock doors
• C. Restrain the patient
• D. Move to another room

Answer: (A)

Wandering at night in dementia often stems from disorientation and a need for familiar cues and security. Providing personal items within reach helps orient the patient and soothe anxiety, making the environment feel safer and more predictable. Familiar objects—like a family photo, blanket, or item with a comforting scent—can reduce restlessness and the impulse to roam.

Locking doors or restraining the patient is not appropriate practice; it poses safety risks, can increase agitation, and violates the principle of least restraint. Moving the patient to another room doesn’t address the underlying need for familiar cues and may worsen confusion. If wandering persists, combine this approach with a safe environment, adequate lighting, routine, and family involvement to support orientation and safety.