Arizona Certified Nursing Assistant (CNA) Practice Test

What does the term "sundowning" refer to in a nursing home setting?

1. Residents becoming tired and wanting to sleep

2. Residents becoming restless and agitated late in the day

3. Residents showing improved mood at sunset

4. Residents enjoying evening activities

The correct answer is: Residents becoming restless and agitated late in the day

The term "sundowning" specifically refers to a phenomenon often seen in individuals with dementia or related cognitive impairments, where they exhibit increased confusion, agitation, or restlessness during the late afternoon and evening hours. This behavior can lead to a range of challenging symptoms such as irritability, anxiety, and potential outbursts, making it difficult for caregivers and other residents in a nursing home setting. Understanding this behavior is crucial for caregivers, as it allows them to implement strategies to help manage agitation and provide a calming environment as the day winds down. For example, maintaining a consistent routine, minimizing environmental stressors, and engaging residents in soothing activities can help ease the symptoms associated with sundowning. The other options, while related to behavior during evening hours, do not accurately capture the specific agitation and confusion characteristic of sundowning. Recognizing the correct definition enables caregivers to be better equipped to support residents experiencing these symptoms.