A nurse is teaching the family of a client who has Alzheimer’s disease about safety interventions for nighttime wandering. Which of the following interventions should the nurse include?

Choice A reason: Daytime naps can disrupt the circadian rhythm, worsening nighttime wandering in Alzheimer’s disease. Short naps may reduce fatigue, but prolonged naps increase insomnia risk, as neurodegeneration impairs sleep regulation, making this an ineffective strategy for managing wandering behavior. Choice B reason: Placing the mattress on the floor reduces fall risk but does not prevent wandering, a common Alzheimer’s behavior due to disorientation and restlessness. It addresses injury risk but not the safety concern of leaving the home, which requires environmental controls. Choice C reason: Rubber-backed rugs prevent slips but do not address wandering. Alzheimer’s-related wandering stems from cognitive deficits and agitation, not balance issues. Rugs may reduce fall injuries but fail to ensure safety by preventing exits from the home. Choice D reason: Installing locks at the bottom of doors prevents wandering by restricting access to exits, addressing disorientation-driven elopement risks in Alzheimer’s. Low locks are less noticeable, reducing agitation while ensuring safety, as clients may not look down to find them, enhancing home security.