A nurse is reviewing the plan of care for an older adult client who is oriented during the day but has recently become confused at night. Which of the following interventions should the nurse recommend to update the client's plan of care?

A. Transfer the client to a private room away from the nurses' station: Moving the client away from the nurses’ station may increase feelings of isolation and anxiety, potentially worsening confusion at night. Environmental changes should support orientation and safety, not exacerbate disorientation. B. Request a PRN prescription for an antianxiety medication: Sedative medications may temporarily reduce agitation but can increase the risk of falls, oversedation, and delirium in older adults. Non-pharmacologic interventions are preferred for managing confusion and sundowning. C. Advise family members not to visit the client after the evening meal: Restricting family visits may increase feelings of loneliness and anxiety. Supportive family presence often helps orient and calm the client rather than aggravate confusion. D. Recommend a stimulating activity when the client becomes confused: Engaging the client in structured, stimulating activities in the evening can help maintain orientation, reduce boredom, and decrease episodes of confusion. Non-pharmacologic interventions like this are effective in managing sundowning in older adults.