A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply).

Choice A reason: Placing the client in a reclining chair is not an appropriate intervention. This measure restricts mobility and can increase agitation or discomfort. It does not address the risk of wandering or falls in a safe or therapeutic manner. Choice B reason: Putting locks at the top of doors is an effective safety measure. Clients with Alzheimer’s disease often wander due to disorientation, and placing locks out of their line of sight or reach reduces the risk of leaving the home unsupervised. This intervention directly addresses safety concerns. Choice C reason: Installing sensor devices on outside doors is another appropriate intervention. These devices alert caregivers when the client attempts to leave, allowing immediate response to prevent injury or unsafe wandering. This measure enhances supervision and safety in the home environment. Choice D reason: Positioning the mattress on the floor is a practical intervention to reduce fall risk. If the client falls out of bed, the lower height minimizes injury. This is especially important for clients with a history of falls and nighttime wandering. Choice E reason: Encouraging physical activity prior to bedtime is not recommended. Late activity can increase stimulation and make it harder for the client to settle down, worsening nighttime restlessness. Instead, calming routines and low-stimulation environments are preferred before bedtime.