A charge nurse in an acute care facility is teaching a newly licensed nurse about caring for a client who has a cognitive impairment. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Rationale: A. This option is incorrect because allowing a client with cognitive impairment to sit at the nurses’ station during the day without supervision can increase risks for wandering, agitation, or injury. Clients with cognitive deficits often have difficulty understanding their environment and may inadvertently interfere with clinical operations or put themselves at risk. Safe, structured, and familiar environments are preferable. B. This option is correct because placing the client’s room near the nurses’ station allows for closer monitoring and timely intervention if the client becomes confused, attempts to wander, or exhibits behavioral changes. This proximity supports patient safety while still promoting a sense of autonomy and privacy. Nurses can quickly respond to needs or emergencies, which is especially important for clients with cognitive impairment who may not recognize hazards or communicate effectively. C. This option is incorrect because using full-length bed rails for clients with cognitive impairment is associated with increased risk of entrapment, injury, or falls if the client attempts to climb over them. Safer alternatives include half rails, low beds, or motion-sensor alarms, which protect the client while reducing risk. D. This option is incorrect because a red wristband indicating fall risk is only a visual cue for staff and does not actively prevent falls. Comprehensive fall prevention requires environmental modifications, frequent monitoring, use of assistive devices, and individualized care plans rather than relying solely on identification bands.