Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

For optimal interaction with a patient at Rancho Cognitive Level IV, family members should:

1. Visit in groups of three to four at a time and work hard at cheering him up

2. Challenge him to computer or board games

3. Watch his favorite movies with him

4. Quietly converse with him about daily happenings

The correct answer is: Quietly converse with him about daily happenings

When interacting with a patient at Rancho Cognitive Level IV, promoting a calm and supportive environment is essential for their rehabilitation. At this level, patients are often confused and exhibit an agitated state, leading to difficulty in processing information and managing emotions. Quietly conversing about daily happenings provides a familiar and low-stress context that can help ground the patient in reality without overwhelming them. This approach allows for gradual social interaction while minimizing stimulus overload, which can occur with large groups or more stimulating activities. It is a way to encourage communication and connection without placing too much demand on the patient's cognitive abilities at this stage. Engaging in simple conversations can help maintain a sense of normalcy and comfort, which is critical for their emotional and cognitive safety during recovery. The other options, while potentially well-intended, could lead to confusion or heightened agitation. For instance, visiting in large groups creates a chaotic atmosphere that may overwhelm the patient. Challenging them with games can also lead to frustration if they are unable to comprehend the rules or compete effectively, adding to their agitation. Watching favorite movies could be enjoyable, but may not offer the interactive element that enhances cognitive engagement needed during this stage of recovery, as passive activities may not support their rehabilitation as effectively as conversational interactions